Application Effect of Ultrasound-guided Erector Spinae Plane Block Assisted General Anaesthesia in Laparoscopic Gastric Cancer Surgery
Objective:To investigate the application effect of ultrasound-guided erector spinae plane block(ESPB)assisted general anaesthesia in laparoscopic gastric cancer surgery.Method:A total of 102 patients undergoing laparoscopic gastric cancer surgery in Macheng Maternal and Child Health Care Hospital from January 2021 to January 2023 were selected as the study objects,and they were divided into control group(conventional general anesthesia)and observation group(ESPB combined general anesthesia)by random number table method,with 51 cases in each group.Visual analogue scale(VAS)scores in exercise and resting state,Bergman comfort scale(BCS)scores and inflammation indexes at 2 h,8 h,12 h and 24 h after surgery were compared between the two groups;hemodynamic indexes[mean arterial pressure(MAP),heart rate(HR)]before anesthesia(T0),after anesthesia(T1)and after surgery(T2)were compared between the two groups.The quality of recovery(recovery room residence time,catheter extraction time,waking time,incidence of agitation during anesthesia recovery)were compared between the two groups.Result:At 2 h,8 h,12 h and 24 h after surgery,VAS score in exercise and resting state and interleukin-6(IL-6)in observation group were lower than those in control group,BCS score and interleukin-10(IL-10)were higher than those in control group,the differences were statistically significant(P<0.05).There were no significant differences in MAP and HR between the two groups at T0(P>0.05).T1,MAP of observation group was higher than that in control group,HR was lower than that in control group,the differences were statistically significant(P<0.05);T2,HR and MAP in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of agitation during anesthesia recovery in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).There were no significant differences in recovery room residence time,catheter extraction time and waking time between the two groups(P>0.05).Conclusion:The use of ESPB assisted general anesthesia in laparoscopic gastric cancer surgery can reduce hemodynamic fluctuations,reduce the incidence of agitation during the recovery period,reduce postoperative inflammation and pain,and improve comfort.
Ultrasound-guided erector spinae plane blockGeneral anaesthesiaLaparoscopic gastric cancer surgeryQuality of recoveryInflammatory response
万方数据
维普
