摘要
目的:观察后路腰方肌阻滞联合氟比洛芬酯在腹腔镜结直肠癌根治术中的应用效果。方法:采用前瞻性研究我院2020年1月至2022年2月收治的70例结直肠癌患者为研究对象,将其随机分为观察组和对照组,每组35例。对照组患者采用后路腰方肌阻滞,观察组患者在对照组基础上联合使用氟比洛芬酯,比较2组患者苏醒时(t0)、出观察室即刻(t1)、术后4h(t2)、8h(t3)、12h(t4)、24h(t5)、48h(t6)时疼痛评分,并进行t1~t6时Prince-Henry评分比较,观察2组患者不良反应发生情况。结果:观察组患者t0~t6疼痛评分、t1~t6Prince-Henry评分均明显低于对照组(P<0.05),2组患者不良反应发生率比较差异无统计学意义(P>0.05)。结论:后路腰方肌阻滞联合氟比洛芬酯能有效减轻腹腔镜结直肠癌根治术后疼痛,且具有一定的安全性。
Objective To observe the efficacy of posterior quadratus lumborium block(QLB)combined with flurbiprofen-axetial(FA)applied in laparoscopic radical surgery for colorectal cancer.Methods Randomly divided the 70patients with colorectal cancer treated in author's hospital(2020-01-2022-02)into control group(35cases,only posterior QLB in the treatment)and observation group(35cases,posterior QLB,added with FA);than,compared both groups'patients'socre ratings on pain at t0(when emergence),t1(the time out of observation room),t2(4hrs.after surgery),t3(8h.),t4(12h),t5(24h),and t6(48h),took comparison of Prince-Henry score ratings at t1-t6,and observed the status on adverse reaction's incidence.Results In observation group,the ratings on pain at t0-t6,and the Prince-Henry score ratings at t1-t6were significantly lower than those in control group(P<0.05);in the incidence of adverse reactions there was no statistical difference between the two groups(P>0.05).Conclusion Posterior QLB plus FA can effectively relieve patients'pain after surgery,and with determined safety.
作者
孙留生
SUN Liu-sheng(Coloproctological Dept.,Jiaozuo City's Second People's Hospital,Jiaozuo,Henan 454000)
出处
《中国肛肠病杂志》
2023年第4期34-36,共3页
Chinese Journal of Coloproctology
关键词
结直肠癌
腹腔镜
根治术
后路腰方肌阻滞
氟比洛芬酯
Colorectal cancer
Laparoscope
Radical surgery
Posterior lumborium block
Flurbiprofenaxetial
