Effect of lumbar sympathetic ganglion block on postoperative ileus after colonic surgery
10.3760/cma.j.cn431274-20240721-01120
- VernacularTitle:腰交感神经节阻滞对结肠手术术后肠梗阻的影响
- Author:
Xiaodan ZHANG
1
;
Jinsheng LI
;
Yong ZHANG
;
Xiao ZHOU
;
Pihong HOU
Author Information
1. 南京医科大学附属南京医院（南京市第一医院）麻醉疼痛与围术期医学科，南京 210006
- Publication Type:Journal Article
- Keywords:
Nerve block;
Lumbar sympathetic ganglion;
Postoperative ileus
- From:
Journal of Chinese Physician
2025;27(5):727-730
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of lumbar sympathetic ganglion block (LSGB) on postoperative ileus (POI) in patients undergoing colonic surgery.Methods:Ninety patients scheduled for elective laparoscopic colonic surgery in the same treatment group at the Nanjing First Hospital from March 2022 to August 2023 were selected and randomly divided into a control group and an observation group using a random number table, with 45 patients in each group. The observation group received ultrasound-guided LSGB before anesthesia, while the control group received no intervention. Both groups received standardized anesthesia protocols and management after entering the operating room. The time to gastrointestinal motility recovery (first defecation time), first flatus time, first feeding time, number of cases requiring gastric tube decompression, postoperative hospital stay, number of cases with nausea and vomiting, intraoperative additional and titrated sufentanil dosage, remifentanil dosage, first patient-controlled intravenous analgesia (PCIA) press time, sufentanil dosage at 4, 8, 12, 16, and 24 hours postoperatively, and the number of analgesic pump presses were recorded.Results:Compared with the control group, the observation group had shorter first defecation and flatus times, earlier first feeding time, shorter postoperative hospital stay, and fewer cases of nausea (all P<0.05). The observation group also had less intraoperative sufentanil supplementation and titration, later first PCIA press time (all P<0.05), and significantly fewer sufentanil dosages and analgesic pump presses at 4, 8, 12, 16, and 24 hours postoperatively compared with the control group (all P<0.05). Conclusions:LSGB reduces the incidence of POI in colonic surgery patients, decreases opioid use, and shortens hospital stay.
