摘要
目的观察超声引导腹横肌平面阻滞麻醉对结肠癌患者腹腔镜术后应激反应的影响。方法选取2019年8月至2021年8月宜昌市第五人民医院结肠癌腹腔镜手术患者80例,根据随机数字表法分为对照组(常规麻醉,40例)与观察组(超声引导腹横肌平面阻滞麻醉,40例)。比较两组患者的镇静情况、疼痛情况、应激指标、免疫功能、血流动力学。结果与对照组相比,观察组患者Ramsay评分低,视觉模拟评分法评分低,应激指标改善好,免疫功能改善好,血流动力学改善好,差异均有显著性(P<0.05)。结论给予腹腔镜结肠癌患者超声引导腹横肌平面阻滞麻醉,能取得较好的镇静效果,减轻患者疼痛感及应激反应,维持良好的血流动力学,促进术后免疫功能的改善。
Objective To observe the effect of ultrasound-guided transverse abdominis block anesthesia on stress response in patients with colon cancer after laparoscopic surgery.Method 80 patients with colon cancer undergoing laparoscopic surgery in Yichang Fifth People's Hospital from August 2019 to August 2021 were randomly divided into control group(routine anesthesia,40 cases)and observation group(ultrasoundguided transverse abdominal block anesthesia,40 cases).The sedation,pain,stress index,immune function and hemodynamics were compared between the two groups.Result Compared with the control group,the Ramsay score and visual analogue score of the patients in the observation group were lower,and the stress index,immune function and hemodynamics were improved significantly(P<0.05).Conclusion Ultrasound-guided transverse abdominis block anesthesia in laparoscopic colon cancer patients can achieve better sedative effect,reduce pain and stress response,maintain good hemodynamics,and promote the improvement of postoperative immune function.
作者
秦俊芳
彭小军
QIN Junfang;PENG Xiaojun(Anesthesiology Department of Yichang Fifth People's Hospital,Hubei Yichang 443007,China;General Surgery Department of Yichang Fifth People's Hospital,Hubei Yichang 443007,China)
出处
《临床普外科电子杂志》
2022年第3期15-18,共4页
Journal of General Surgery for Clinicians(Electronic Version)
关键词
超声
腹横肌平面阻滞麻醉
腹腔镜
Ultrasound
Transverse abdominal muscle plane block anesthesia
Laparoscope
