Comparison of the impacts of quadratus lumborum block and transversus abdominis plane block combined with general anesthesia under ultrasound on awakening quality and analgesic effect of patients undergoing laparoscopic myomectomy
Objective To compare the impacts of ultrasound-assisted quadratus lumborum block(QLB)and transversus abdominis plane block(TAPB)combined with general anesthesia on patients undergoing laparoscopic myomectomy(LM).Methods The clinical data of 80 patients with LM admitted to Suqian Maternal and Child Hospital from January 2022 to October 2023 were retrospectively collected,and they were divided into the control group(n=40)and the observation group(n=40)according to different anesthesia methods.The control group was treated with ultrasound-guided TAPB combined with general anesthesia,while the observation group was treated with ultrasound-guided QLB combined with general anesthesia.The stress response,hemodynamics,analgesic effect,quality of awakening and adverse reactions(ADRs)were compared between the two groups.Results Before anesthesia(T0),30 min after anesthesia(T1)and at the end of surgery(T2),there were no statistically significant differences in the levels of norepinephrine,cortisol,adrenocorticotropic hormone,mean arterial pressure and heart rate between the two groups(P＞0.05).At 6,12 and 24 hours after the operation,the visual analogue scale scores in the observation group were all lower than those in the control group,with statistically significant difference(P＜0.05).The time of spontaneous breathing recovery,extubation and eye opening in the observation group were shorter than that in the control group,with statistically significant differences(P＜0.05).There was no statistically significant difference in total incidence of ADRs between the two groups(P＞0.05).Conclusion Both QLB and TAPB combined general anesthesia under ultrasound can reduce the stress response of LM patients and stabilize hemodynamics.QLB combined general anesthesia under ultrasound has more effective analgesic effect,which is helpful for patients to wake up quickly after the operation without increasing ADRs.It has a certain application value and can be promoted and applied in clinic.
万方数据
维普
