The analgesic effect and safety of transincisional quadratus lumborum block technique for laparoscopic nephrectomy
10.3969/j.issn.1673-9701.2024.24.001
- VernacularTitle:经切口腰方肌阻滞技术在肾切除术的镇痛效果及安全性评价
- Author:
Lingzhi WANG
1
;
Ruifen ZHOU
;
Qilu YING
;
Li CHEN
;
Manhua ZHU
Author Information
1. 宁波大学附属李惠利医院宁波市医疗中心李惠利医院麻醉科,浙江宁波 315040
- Keywords:
Transincisional quadratus lumborum block;
Retroperitoneoscope;
Nephrectomy;
Analgesia
- From:
China Modern Doctor
2024;62(24):1-5
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the analgesic effect and safety of transincisional quadratus lumborum block(TQLB)technique for laparoscopic nephrectomy.Methods Sixty patients scheduled for laparoscopic nephrectomy at the Affiliated Lihuili Hospital of Ningbo University from December 2023 to March 2024,the patients were randomly divided into TQLB group(T group)and control group(C group)using a random number table method,with 30 cases in each group.C group received general anesthesia with tracheal intubation,while T group received general anesthesia with tracheal intubation combined with TQLB.Two groups of patients were routinely given sufentanil controlled intravenous analgesia pump after surgery.Record the wound healing status of two groups of patients,postoperative 24h sufentanil consumption,resting and exercise time numerical rating scale(NRS)scores at 6h,12h,and 24h postoperatively,range of sensory blockade at 2h postoperatively,number of salvage analgesia cases at 24h postoperatively,analgesic satisfaction score,and incidence of postoperative complications.Results Compared with group C,patients in group T had a reduced consumption of sufentanil 24h after surgery(P＜0.001);The resting and exercise NRS scores decreased at 6h,12h,and 24h after surgery(P＜0.05);The number of postoperative 24h rescue analgesia cases and the satisfaction score of analgesia were both lower than C group(P＜0.05);The incidence of postoperative nausea and vomiting in group T was lower(P＜0.05);Both groups of patients did not experience serious complications.Conclusion TQLB appears to offer effective postoperative analgesia during the early stages of laparoscopic nephrectomy,while also reducing the occurrence of complications.This suggests that it could serve as a safe and efficient alternative for analgesic management in such surgical procedures.
