Efficacy of laryngeal mask general anesthesia combined with"loop anesthesia"block for colon cancer surgery
10.3969/j.issn.1673-9701.2024.16.010
- VernacularTitle:喉罩全身麻醉联合"圈麻"阻滞用于结肠癌手术的麻醉效果
- Author:
Zhihai FU
1
;
Zaizhi CHEN
;
Lijun MA
;
Yitao QU
;
Meiyuan LIN
;
Linhui CHEN
Author Information
1. 厦门市第三医院麻醉科,福建厦门 361100
- Keywords:
Laryngeal mask;
Sheath of rectus abdominis block;
Quadratus lumborum block;
Transversus abdominis plane block;
Laparoscopic resection of colon cancer
- From:
China Modern Doctor
2024;62(16):38-41
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the anesthetic effect of laryngeal mask general anesthesia combined with abdominal"loop anesthesia"block in laparoscopic resection of colon cancer.Methods A total of 60 patients who underwent laparoscopic resection of colon cancer in the Third Hospital of Xiamen from January 2022 to March 2023 were selected.According to random number table method,they were divided into L group(laryngeal mask general anesthesia,30 cases)and U group(laryngeal mask general anesthesia combined with abdominal"loop anesthesia"block,30 cases).The dosage of propofol and remifentanil for anesthesia maintenance,time to completion of surgery,visual analogue scale(VAS)score after consciousness and sufentanil dosage were recorded and compared between two groups.The satisfaction of analgesia 12h after surgery was compared between two groups.Results There were no significant differences in gender,age,body mass,height and operation time between two groups(P>0.05).The total dosage of remifentanil and propofol in U group was significantly lower than that in L group(P<0.001).The VAS score in the anesthesia recovery room of U group was significantly lower than that of L group,and the dosage of sufentanil was significantly lower than that of L group(P<0.001).The satisfaction of analgesia in U group was significantly higher than that in L group(χ2=6.772,P=0.031).Conclusion Compared with laryngeal mask general anesthesia,laryngeal mask general anesthesia combined with abdominal"loop anesthesia"block can reduce the amount of anesthesia maintenance drugs in laparoscopic colon cancer resection,reduce the amount of sufentanil in the anesthesia recovery room,and improve the satisfaction of postoperative analgesia.
