Advance Search
HE Jie, SUN Rui, WANG Zhenhong, XIE Xinyi. Application of ultrasound-guided transversus abdominis plane block and quadratus lumborum block in patients with rectal cancer undergoing laparoscopic surgery[J]. Journal of Clinical Medicine in Practice, 2022, 26(8): 95-98. DOI: 10.7619/jcmp.20214629
Citation: HE Jie, SUN Rui, WANG Zhenhong, XIE Xinyi. Application of ultrasound-guided transversus abdominis plane block and quadratus lumborum block in patients with rectal cancer undergoing laparoscopic surgery[J]. Journal of Clinical Medicine in Practice, 2022, 26(8): 95-98. DOI: 10.7619/jcmp.20214629
shu

Application of ultrasound-guided transversus abdominis plane block and quadratus lumborum block in patients with rectal cancer undergoing laparoscopic surgery

  • 1.

    Department of Anesthesiology, Liyang Branch of Jiangsu Provincial People′s Hospital, Liyang People′s Hospital of Jiangsu Province, Liyang, Jiangsu, 213300

  • 2.

    Department of Anesthesiology, Nanjing First Hospital of Jiangsu Province, Nangjing, Jiangsu, 210000

More Information
  • Received Date: November 23, 2021
  • Available Online: April 27, 2022
  • Published Date: April 27, 2022
    Graphical Abstract
    • Abstract
  •   Objective  To compare the application effects of ultrasound-guided transversus abdominis plane block (TAPB) and quadratus lumborum block (QLB) in laparoscopic surgery for patients with rectal cancer.
      Methods  A total of 94 patients with rectal cancer undergoing laparoscopic surgery were selected as research objects, and were randomly divided into observation group (n=47) and control group (n=47). The observation group was given ultrasound-guided QLB, and the control group was given ultrasound-guided TAPB. The dosage of sufentanil, the degree of pain [Visual Analogue Scale (VAS)] and the incidence of adverse reactions were compared between the two groups. The serum levels of 5-hydroxytryptamine (5-HT), substance P (SP) and prostaglandin E2 (PGE2) were compared between the two groups before and after operation.
      Results  At 2, 8, 12 and 24 h after surgery, the cumulative use of sufentanil in the observation group was significantly lower than that in the control group, and VAS score was significantly lower than that in the control group (P < 0.05). At 24 h after operation, the levels of 5-HT, SP and PGE2 in both groups were significantly higher than those before operation, while those in the observation group were significantly lower than the control group (P < 0.05). The incidence of adverse reactions in the observation group was 10.64%, which was significantly lower than 27.66% in the control group (P < 0.05).
      Conclusion  Compared with ultrasound-guided TAPB, ultrasound-guided QLB has a better application effect in laparoscopic surgery for rectal cancer, which can effectively relieve postoperative pain, reduce the level of pain mediators and the incidence of adverse reactions, and reduce the use of other anesthetics.
    • FullText(HTML)
    • References (15)
  • [1]
    王锡山. 中美结直肠癌流行病学特征对比及防控策略分析[J]. 中华结直肠疾病电子杂志, 2019, 8(1): 1-5. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHZC201901002.htm
    [2]
    张庆兵, 吴玥, 牛居辉. 超声引导腰方肌阻滞与腹横肌平面阻滞对剖宫产术后镇痛效果的影响[J]. 皖南医学院学报, 2020, 39(1): 68-71. https://www.cnki.com.cn/Article/CJFDTOTAL-WNYX202001018.htm
    [3]
    中华医学会消化病学分会. 中国结直肠肿瘤筛查、早诊早治和综合预防共识意见(一)[J]. 中华消化杂志, 2012, 32(1): 1-10. https://www.cnki.com.cn/Article/CJFDTOTAL-WIEC201111010.htm
    [4]
    陈昕涛. 结直肠癌腹腔镜手术治疗的研究进展[J]. 东南国防医药, 2020, 22(3): 283-288. doi: 10.3969/j.issn.1672-271X.2020.03.013
    [5]
    MOLFINO S, BOTTERI E, BAGGI P, et al. Pain control in laparoscopic surgery: a case-control study between transversus abdominis plane-block and trocar-site anesthesia[J]. Updates Surg, 2019, 71(4): 717-722. doi: 10.1007/s13304-018-00615-y
    [6]
    CHOI H R, OH T K, KIM J, et al. Analgesia after major laparoscopic surgery in patients with chronic kidney disease: a retrospective cohort study[J]. Sci Rep, 2019, 9(1): 3939. doi: 10.1038/s41598-019-40627-1
    [7]
    KIM T E, GANAWAY T, HARRISON T K, et al. Implementation of clinical practice changes by experienced anesthesiologists after simulation-based ultrasound-guided regional anesthesia training[J]. Korean J Anesthesiol, 2017, 70(3): 318-326. doi: 10.4097/kjae.2017.70.3.318
    [8]
    朱洁, 马家玲, 高艳平. 超声引导下腰方肌阻滞与腹横肌平面阻滞对胃癌根治术老年患者术后镇痛效果[J]. 贵州医药, 2019, 43(9): 1368-1371. doi: 10.3969/j.issn.1000-744X.2019.09.007
    [9]
    KROHG A, ULLENSVANG K, ROSSELAND L A, et al. The analgesic effect of ultrasound-guided quadratus lumborum block after cesarean delivery: a randomized clinical trial[J]. Anesth Analg, 2018, 126(2): 559-565. doi: 10.1213/ANE.0000000000002648
    [10]
    冒江旗, 曹苏. 胆囊结石合并胆囊炎患者腹腔镜胆囊切除术后应用腰方肌阻滞和腹横肌平面阻滞的镇痛效果比较[J]. 医学临床研究, 2020, 37(1): 126-128.
    [11]
    任柏林, 冯爱敏, 乔迎帅, 等. 腰方肌与腹横肌平面阻滞在腹腔镜手术中的镇痛效果比较[J]. 新乡医学院学报, 2018, 35(8): 719-721. https://www.cnki.com.cn/Article/CJFDTOTAL-XXYX201808021.htm
    [12]
    谢颖, 李林佶, 任普圣, 等. 超声引导下腰方肌阻滞与腹横肌平面阻滞在腹股沟疝无张力疝修补术中麻醉效果的比较[J]. 中国老年学杂志, 2020, 40(1): 95-98. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLXZ202001032.htm
    [13]
    康文彬, 李颖源, 周雪, 等. 腹横肌平面阻滞和腰方肌阻滞的效果对比[J]. 临床外科杂志, 2019, 27(6): 456-459. https://www.cnki.com.cn/Article/CJFDTOTAL-LCWK201906003.htm
    [14]
    刘军, 周颖, 蔡志勇, 等. 氯胺酮复合氟比洛芬酯超前镇痛对乳腺癌根治术患者术后疼痛介质及心血管反应的影响[J]. 河北医学, 2019, 25(10): 1658-1663. https://www.cnki.com.cn/Article/CJFDTOTAL-HCYX201910019.htm
    [15]
    昝望, 潘鑫, 熊苗苗, 等. 术前高度焦虑相关致痛因子的变化及其对术后疼痛的影响[J]. 临床麻醉学杂志, 2018, 34(8): 768-772. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMZ201808012.htm
    • Related Articles

  • Cited by

    Periodical cited type(10)

    1. 王丹阳，姜宏，李俊. 腹腔镜下结直肠癌手术中不同麻醉方法的临床效果比较. 浙江创伤外科. 2025(01): 166-168 .
    2. 周洁，杨卫华. 超声引导下双侧弓状韧带上腰方肌阻滞在子宫内膜癌全子宫切除术中的麻醉效果分析. 实用癌症杂志. 2025(03): 421-424 .
    3. 石建娜，周新东，孙科，石海波，陈霞. 补肾解毒方联合耳穴压豆对晚期结直肠癌患者癌性疼痛及生活质量的影响. 实用临床医药杂志. 2024(07): 41-44 . 本站查看
    4. 单红云，张岩. 超声引导下腹横肌平面阻滞麻醉对急性阑尾炎腹腔镜手术患者的影响. 中外医学研究. 2024(18): 42-46 .
    5. 杜小强，吴俊雄，郭丽娜，刘建东，王伟立. 超声引导腰方肌阻滞与腹横肌平面阻滞在全腹式子宫切除术后的镇痛效果比较. 青岛大学学报(医学版). 2024(03): 417-421 .
    6. 张富康. 比较超声腰方肌阻滞与腹横筋膜阻滞对腹腔镜结直肠手术患者的麻醉效果. 现代医学与健康研究电子杂志. 2024(14): 10-13 .
    7. 张敏，张富杰，谭会领，崔同阳，武振东，吕吟啸. 肋缘下TAPB联合单侧腹直肌鞘阻滞对腹腔镜胆囊切除术患者应激及苏醒质量的影响. 河北医科大学学报. 2024(08): 879-884 .
    8. 何红美，吴年生，魏敏，张跃东，王辉，鲁育民，王娟. 超声引导下的腰方肌阻滞与腹横筋膜阻滞对剖宫产产妇的安全性和有效性. 贵州医科大学学报. 2024(11): 1699-1704 .
    9. 马菁，商文娟. 腕踝针配合耳穴贴压对老年胃肠癌患者术后疼痛和肠胃功能的影响. 老年医学与保健. 2023(05): 910-915 .
    10. 屈添平，严俨，曹辉. 超声引导下腹横肌平面阻滞对全身麻醉下腹腔镜胆囊切除术患者应激反应及镇痛效果的影响. 临床误诊误治. 2023(10): 117-121 .

    Other cited types(2)

Catalog

    Get Citation
    PDF
    XML
    Article views (235) PDF downloads (12) Cited by(12)
    Turn off MathJax
    Article Contents
    Abstract
    References

    © 2020 《实用临床医药杂志》编辑部

    Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807

    苏公网安备 32100302010246号

    Supported by: Beijing Renhe Information Technology Co., Ltd.   Baidu Analytics

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return