Effects of Ultrasound Guided Stellate Ganglion Block on Digestive Function and Stress Response in Patients Undergoing Spinal Surgery
Objective:To investigate the effect of ultrasound guided stellate ganglion block on digestive function and stress response in patients undergoing spinal surgery.Methods:Sixty patients with spinal surgery admitted to our hospital from January 2020 to January 2023 were selected as the research subjects.All patients were divided into an observation group and a control group using a random number table method,with 30 patients in each group.The patients in the control group were given intravenous general anesthesia,and the patients in the observation group were given ultrasound guided planetary ganglion block anesthesia after induction of intravenous general anesthesia.The changes of vital signs of the patients in the two groups at different times during the operation,and the changes of glutathione peroxidase(GSH px),superoxide dismutase(SOD),malondialdehyde(MDA)related stress factors before and after the operation were compared,and the patients in the two groups were compared 2 hours,6 hours Compare the recovery time of digestive function and the 15 Recovery Quality Rating Scale(QoR-15)scores on the visual analogue scale(VAS)at 12 hours and 24 hours after surgery.Results:There was no difference in SPO2,HR,MAP,DBP,and SBP between the observation group at T1 to T4(P＞0.05),while there was a significant difference in SPO2,HR,MAP,DBP,and SBP between the control group at T1 to T4(P＜0.05).There was a significant difference in SPO2,HR,MAP,DBP,and SBP between the observation group and the control group at T2 and T3(P＜0.05);There was no difference in GSH-px,MDA,and SOD between the two groups of patients before surgery(P＞0.05).At 2 hours after surgery,GSH-px,SOD,and MDA increased in both groups of patients,and the observation group was lower than the control group(P＜0.05);The VAS scores of the observation group patients at 2 hours,6 hours,and 12 hours after surgery were lower than those of the control group(P＜0.05),and there was no significant difference in the VAS scores between the two groups at 24 hours after surgery(P＞0.05);The QoR-15 score of patients at 24h,48h and 72h after surgery was significantly lower than that of the control group(P＜0.05),and the digestive recovery time of patients in the observation group was shorter than that of the control group(P＜0.05).Conclusion:Ultrasound guided stellate ganglion block can stabilize patients'vital signs,reduce stress reactions,improve short-term postoperative pain,and promote digestive function recovery.
Ultrasound guidanceStellate ganglion blockSpinal surgery
NETL
NSTL
万方数据
维普
