Effect of supra arcuate-quadrat lumborum block on postoperative recovery quality in patients with laparoscopic cholecystectomy
WANG Liping* XU Ting* QIU Sheng #br#
Department of Anesthesiology, Dongfang Hospital Affiliated to Xiamen University (School of Medicine of Xiamen University) Fuzhou General Clinical Medical College of Fujian Medical University 900th Hospital Teaching Base of Joint Logistics Support Force for Fujian University of Traditional Chinese Medicine, Fujian Province, Fuzhou 350025, China
Abstract：Objective To observe the effect of supra arcuate-quadratus lumborum block (SA-QLB) on postoperative recovery quality of patients with laparoscopic cholecystectomy. Methods A total of 60 patients undergoing laparoscopic cholecystectomy under elective general anesthesia admitted to Dongfang Hospital Affiliated to Xiamen University from January to April 2022 were selected, they were divided into control group (group C) and SA-QLB group, with 30 cases in each group. SA-QLB group underwent bilateral SA-QLB under ultrasound guidance before anesthesia induction, and group C did not have nerve block. Both groups were treated with combined intravenous-inhalational anesthesia, and patient-controlled analgesia was used after operation. The intraoperative dosage of Propofol and Remifentanil, anesthesia time, and operation time were compared between two groups; visual analogue scale (VAS) scores at rest and cough in upper abdomen and shoulder were compared between two groups at 2, 6, 12, 24 h, and 48 h after operation; the number of effective analgesic pump compressions, the rate of relief analgesia, the incidence of nausea and vomiting, the incidence of urinary retention, the first time to get out of bed, the first time to exhaust gas were compared between two groups within 48 h after operation; and the scores of the 40-item quality of recovery scale (QoR-40) before and after operation were compared between two groups. Results At 2, 6, 12, 24 h, and 48 h after operation, VAS scores of rest and cough in upper abdomen and shoulder in SA-QLB group were lower than those in group C (P＜0.05). The dosages of Propofol and Remifentanil in SA-QLB group were lower than those in group C; the number of effective analgesic pump compressions, the rate of relief analgesia, the incidence of nausea and vomiting were lower than those of group C, and the first time to get out of bed, the first time to exhaust gas were shorter than those of group C (P＜0.05). There was no significant difference in the incidence of urinary retention between two groups (P＞0.05). The grading scores and total scores of QoR-40 in SA-QLB group were higher than those in group C at 24 and 48 h after operation (P＜0.05). Conclusion SA-QLB can improve the postoperative recovery quality of patients undergoing laparoscopic cholecystectomy.
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