Ultrasound-guided quadratus lumborum block at lateral supra-arcuate ligament for analgesia after open hepatectomy
- VernacularTitle:超声引导下外侧弓上韧带腰方肌阻滞用于开腹肝切除术后镇痛
- Author:
Lei ZHANG
1
;
Ya-Jun DING
;
Pei-Pei KANG
Author Information
- Keywords: ultrasound; quadratus lumborum block at lateral supra-arcuate ligament; subcostal transverse abdominis plane block; open hepatectomy; analgesia
- From: Journal of Regional Anatomy and Operative Surgery 2024;33(11):955-958
- CountryChina
- Language:Chinese
- Abstract: Objective To explore the analgesic effect of ultrasound-guided quadratus lumborum block at lateral supra-arcuate ligament after open hepatectomy.Methods A total of 106 patients with open hepatectomy in our hospital from April 2022 to May 2023 were selected prospectively and randomly divided into the control group(anesthetized by ultrasound-guided subcostal transverse abdominis plane block)and the observation group(anesthetized by ultrasound-guided quadratus lumborum block at lateral supra-arcuate ligament),with 53 cases in each group.The postoperative recovery index,immune function,and numerical rating scale(NRS)score and Ramsay sedation score in each time point of patients in the two groups were compared,and the incidence of adverse reactions during hospitalization was counted.Results The time of getting out of bed and anal discharge time of patients in the observation group were earlier than those in the control group(P<0.05),the dosage of sufentanil in 48 hours and numbers of analgesic pump compressions were less than those in the control group(P<0.05),Ramsay sedation scores 6 hours and 12 hours after surgery were higher than those in the control group(P<0.05),NRS scores at resting and cough 6 hours,12 hours,24 hours after surgery were lower than those in the control groups(P<0.05),the contents of CD4+,NK and CD4+/CD8+24 hours after surgery were higher than those in the control group(P<0.05).There was no statistically significant difference in the incidence of postoperative adverse reactions between the two groups(P>0.05).Conclusion Ultrasound-guided quadratus lumborum block at lateral supra-arcuate ligament in patients with open hepatectomy can achieve ideal analgesic and sedative effects,and promote postoperative recovery.
