超声引导下竖脊肌平面阻滞辅助全身麻醉在腹腔镜胃癌手术中的应用效果  

Application Effect of Ultrasound-guided Erector Spinae Plane Block Assisted General Anaesthesia in Laparoscopic Gastric Cancer Surgery

作　　者：陈三星 CHEN Sanxing(Macheng Maternal and Child Health Care Hospital,Macheng 438300,China)

机构地区：[1]麻城市妇幼保健院,湖北麻城438300

出　　处：《中外医学研究》2024年第13期136-140,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究超声引导下竖脊肌平面阻滞(ESPB)辅助全身麻醉在腹腔镜胃癌手术中的应用效果。方法:选择2021年1月—2023年1月在麻城市妇幼保健院进行腹腔镜胃癌手术的102例患者作为研究对象,应用随机数表法将其分为对照组(常规全身麻醉)及观察组(ESPB复合全身麻醉),各51例。比较两组术后2 h、8 h、12 h、24 h运动、静息状态下视觉模拟评分法(VAS)评分、伯格曼舒适度量表(BCS)评分及炎症指标;比较两组麻醉前(T_(0))、麻醉后(T_(1))、术毕(T_(2))血流动力学指标[平均动脉压(MAP)、心率(HR)];比较两组恢复质量(恢复室停留时间、拔出导管时间、意识清醒时间、麻醉苏醒期躁动发生率)。结果:术后2 h、8 h、12 h、24 h,观察组运动、静息状态下VAS评分、白细胞介素-6(IL-6)低于对照组,BCS评分、白细胞介素-10(IL-10)均高于对照组,差异有统计学意义(P<0.05)。T_(0),两组MAP、HR比较,差异无统计学意义(P>0.05);T_(1),观察组MAP高于对照组,HR低于对照组,差异有统计学意义(P<0.05);T_(2),观察组HR、MAP高于对照组,差异有统计学意义(P<0.05)。观察组麻醉苏醒期躁动发生率低于对照组,差异有统计学意义(P<0.05);两组恢复室停留时间、拔出导管时间、意识清醒时间比较,差异无统计学意义(P>0.05)。结论:腹腔镜胃癌手术患者采用ESPB复合全身麻醉,可减少血流动力学波动,降低苏醒期躁动发生率,减轻术后炎症反应、疼痛程度,提高舒适度。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(T_(0)),after anesthesia(T_(1))and after surgery(T_(2))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 T_(0)(P>0.05).T_(1),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);T_(2),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,cathet

关 键 词：超声引导下竖脊肌平面阻滞 全身麻醉 腹腔镜胃癌手术 恢复质量 炎症反应 

分 类 号：R614[医药卫生—麻醉学] R735.2[医药卫生—外科学]