超声引导下星状神经节阻滞静吸复合麻醉应用于宫颈癌手术的效果  

Effect of Ultrasound-Guided Stellate Ganglion Block Combined with Intravenous Anesthesia in Cervical Cancer Surgery

作　　者：方亮[1] FANG Liang(Department of Anesthesiology,the Second Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,China)

机构地区：[1]河南科技大学第二附属医院麻醉科,河南洛阳471000

出　　处：《河南医学研究》2025年第1期73-76,共4页Henan Medical Research

摘　　要：目的观察超声引导下星状神经节阻滞(SGB)静吸复合麻醉应用于宫颈癌手术的效果。方法纳入2021年5月至2023年5月河南科技大学第二附属医院86例宫颈癌患者,按随机数表法分为研究组和对照组,各43例。两组均接受腹腔镜下宫颈癌根治术治疗,对照组术中接受静吸全麻,研究组接受超声引导下SGB静吸复合麻醉。比较两组入室时(T_(0))、麻醉诱导后即刻(T_(1))、手术30 min时(T_(2))、术毕时(T_(3))的心率(HR)和平均动脉压(MAP);比较两组术后2、12、24、48 h的疼痛程度[视觉模拟评分法(VAS)];比较两组术后指标[苏醒时间、镇静程度(Ramsay镇静评分)、术后48 h舒芬太尼用量、自控镇痛泵(PCIA)按压次数];统计患者不良反应发生率。结果两组T_(0)~T_(3)的HR、MAP呈先下降后上升的趋势,且研究组下降幅度小于对照组;两组HR、MAP组间、时点、交互效应有统计学意义(P<0.05)。两组VAS评分组间、时点、交互效应有统计学意义(P<0.05)。研究组舒芬太尼用量、PCIA按压次数少于对照组(P<0.05),恶心呕吐发生率低于对照组(P<0.05)。结论超声引导下SGB静吸复合麻醉可稳定宫颈癌手术患者血流动力学,镇痛效果良好,且能降低恶心呕吐发生率。Objective To observe the effect of ultrasound-guided stellate ganglion block(SGB)combined with intravenous anesthesia on cervical cancer surgery.Methods A total of 86 patients with cervical cancer from the Second Affiliated Hospital of Henan University of Science and Technology from May 2021 to May 2023 were included.They were randomly divided into study group and control group,with 43 patients in each group.Both groups underwent laparoscopic radical cervical cancer surgery,while the control group received intravenous anesthesia during surgery,the study group received SGB combined intravenous anesthesia under ultrasound guidance.The heart rate(HR)and mean arterial pressure(MAP)of the two groups at entry(T_(0)),immediately after anesthesia induction(T_(1)),30 minutes after surgery(T_(2)),and after surgery(T_(3))were compared.The degree of pain[visual analogue scale(VAS)]at 2,12,24 and 48 hours after operation was compared between the two groups.The postoperative indexes[recovery time,sedation degree(Ramsay sedation score),sufentanil dosage at 48 h after operation,pressing times of patient-controlled analgesia pump(PCIA)]were compared between the two groups.The incidence of adverse reactions in patients was counted.Results The HR and MAP of T_(0)-T_(3)in two groups showed a trend of first decreasing and then increasing,and the decrease in the study group was smaller than that in the control group.The interaction effects between the two groups of HR and MAP at different time points were statistically significant(P<0.05).The VAS scores of the two groups were statistically significant between groups,time points,and interaction effects(P<0.05).The dosage of sufentanil and the effective number of PCIA compressions in the study group were lower than those in the control group(P<0.05),and the incidence of nausea and vomiting was lower than that in the control group(P<0.05).Conclusion Ultrasound-guided SGB combined with intravenous anesthesia can stabilize the hemodynamics of cervical cancer surgery patients,have good anal

关 键 词：宫颈癌 超声引导下星状神经节阻滞 血流动力学 

分 类 号：R614[医药卫生—麻醉学]