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Applied analysis of ultrasound-guided ilioinguinal and iliohypogastric nerve blocks in the radical surgery of aged cervical cancer

机译:超声引导i神经和i下神经阻滞在老年宫颈癌根治术中的应用分析

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摘要

In the present study, we evaluated the effects of ultrasound-guided ilioinguinal and iliohypogastric nerve blocks and intratracheal general anesthesia in the radical surgery of aged cervical cancer. From June 2014 to December 2014, 62 patients diagnosed with aged cervical cancer were enrolled in this study. The patients conformed to the indication of cervical cancer radical surgery. Patients were randomly divided into the test group and the control group according to the random number table with 31 individuals in each group. General anesthesia and compound ultrasound-guided ilioinguinal and iliohypogastric nerve blocks were applied in the test group, while intratracheal general anesthesia was used in the control group. The results showed that the operative time, awake time and the total dosage of propofol and sufentanil in the test group were significantly lower than those in the control group. The postoperative VAS score, the times to press the automatic control bump and continuous application time of the automatic control bump in the test group were significantly less than those in the control group. The occurrence rate of anesthesia-related adverse reactions in the test group during the perioperative period was significantly lower than that in the control group. Differences were statistically significant (P<0.05). We concluded that ultrasound-guided ilioinguinal and iliohypogastric nerve blocks significantly improved the analgesic effects during the perioperative and postoperative period in cervical cancer radical surgeries.
机译:在本研究中,我们评估了超声引导的i神经和i腹神经阻滞和气管内全身麻醉在老年宫颈癌根治性手术中的效果。从2014年6月至2014年12月,本研究纳入了62位诊断为老年宫颈癌的患者。患者符合宫颈癌根治性手术的指征。根据随机数字表将患者随机分为试验组和对照组,每组31人。试验组采用全身麻醉和复合超声引导的i小神经和hy腹下神经阻滞,而对照组采用气管内全身麻醉。结果表明,试验组的手术时间,清醒时间以及异丙酚和舒芬太尼的总剂量均明显低于对照组。试验组的术后VAS评分,按压自动控制凸块的次数和自动控制凸块的连续施加时间明显少于对照组。试验组围手术期麻醉相关不良反应的发生率明显低于对照组。差异具有统计学意义(P <0.05)。我们得出的结论是,在宫颈癌根治性手术的围手术期和术后,超声引导的lio神经和胃下腹神经阻滞明显改善了镇痛效果。

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