Comparison of effects of ultrasound-guided quadratus lumborum block and bilateral transversus abdominis plane block on analgesia in patients after gynecological laparoscopic surgery
Objective:To compare analgesic effects of ultrasound-guided quadratus lumborum block and bilateral transversus abdominis plane block in patients after gynecological laparoscopic surgery.Methods:A prospective study was conducted on 86 patients undergoing elective gynecological laparoscopic surgery from April 2022 to April 2023 admitted to this hospital.According to the random number table method,they were divided into observation group and control group,43 cases in each group.Both groups received routine patient-controlled intravenous analgesia after the surgery.On this basis,the control group received ultrasound-guided bilateral transversus abdominis plane block after the surgery,while the observation group received ultrasound-guided quadratus lumborum block after the surgery.The first pressing analgesia pump time,the first out-of-bed time,the total dosage of Sufentanil for patient-controlled intravenous analgesia,the visual analogue scale(VAS)score,and the incidence of adverse reactions were compared between the two groups.Results:The first pressing analgesia pump time in the observation group was longer than that in the control group,the first out-of-bed time in the observation group was shorter than that in the control group,the total dosage of Sufentanil in the observation group was less than that in the control group,and the differences were statistically significant(P<0.05).2,6 and 12 h after the surgery,the VAS scores of the observation group at rest and activity(cough)were lower than those of the control group,and the differences were statistically significant(P<0.05).Further,at 48 after the surgery,the incidence of adverse reactions in the observation group was 6.98%,which was lower than 23.26%in the control group,and the difference was statistically significant(P<0.05).Conclusions:Ultrasound-guided quadratus lumborum block for analgesia after gynecological laparoscopic surgery can shorten the first out-of-bed time,prolong the first pressing analgesia pump time,reduce the total dosage of Sufentanil for patient-controlled intravenous analgesia,and reduce the VAS scores and the incidence of adverse reactions.Moreover,it is superior to ultrasound-guided bilateral transversus abdominis plane block.
Under ultrasound guidanceTransversus abdominis plane blockQuadratus lumborum blockGynecologyLaparoscopic surgeryAdverse reaction
万方数据
维普
