Effects of preoperative quadratus lumborum block and intertransverse process block on postoperative pain and early recovery in patients undergoing gynecological laparoscopic surgery
Effects of preoperative quadratus lumborum block and intertransverse process block on postoperative pain and early recovery in patients undergoing gynecological laparoscopic surgery
Objective To study the effects of preoperative quadratus lumborum block and transversus abdo-minis plane block on postoperative pain and early recovery in patients undergoing gynecological laparoscop-ic surgery.Methods The study included 80 patients scheduled for gynecological laparoscopic surgeries un-der general anesthesia at Chaoyang District Maternal and Child Health Hospital,Beijing,from December 2018 to December 2022.Participants were randomly assigned to receive either a quadratus lumborum block(Group Q,40 patients)or a transversus abdominis plane block(Group T,40 patients)prior to anesthesia induction.The research monitored opioid consumption during and up to 48 hours post-surgery,the inci-dence of intraoperative cardiovascular adverse events,postoperative nausea and vomiting within 48 hours,time to first flatus,and time to first ambulation.Patient satisfaction was evaluated on the third postopera-tive day using the QoR-40 scale.Results Compared with Q group,T group had a decrease in the amount of sufentanil used during and 24 hours after surgery,an increase in the incidence of intraoperative hypoten-sion(10.2％vs 35％),an increase in QoR-15 score at 3 days after surgery[(166.26±10.91)vs(174.52±11.77)],and a shortened first time out of bed[(18.2±4.5)h vs(16.0±4.2)h],with statistically signif-icant differences(P＜0.05).There was no statistically significant difference(P＞0.05)in the time of in-testinal emptying and the incidence of postoperative nausea and vomiting between the two groups.Conclu-sion The use of intertransverse process block in gynecological laparoscopic surgery can reduce periopera-tive opioid consumption and improve early postoperative patient satisfaction compared with quadratus lum-borum block.
关键词
腰方肌阻滞/横突间阻滞/腔镜手术/术后疼痛
Key words
quadratus lumborum block/intertransverse process block/laparoscopic surgery/postoperative pain
维普
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