Volume 21 Issue 8
Aug.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(8): 1365-1369
LI Liang, FENG Xinyuan, YIN Jun, ZHOU Zhongsong, ZHANG Chaoxue. The application of preoperative ultrasound-guided quadratus lumborum block for the analgesia after hepatic microwave ablation[J]. Chinese Journal of General Practice, 2023, 21(8): 1365-1369. doi: 10.16766/j.cnki.issn.1674-4152.003124
Citation: LI Liang, FENG Xinyuan, YIN Jun, ZHOU Zhongsong, ZHANG Chaoxue. The application of preoperative ultrasound-guided quadratus lumborum block for the analgesia after hepatic microwave ablation[J]. Chinese Journal of General Practice, 2023, 21(8): 1365-1369. doi: 10.16766/j.cnki.issn.1674-4152.003124
shu

The application of preoperative ultrasound-guided quadratus lumborum block for the analgesia after hepatic microwave ablation

doi: 10.16766/j.cnki.issn.1674-4152.003124

  • Department of Ultrasound, the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, China

Funds:

 202004j07020031

  • Received Date: 2023-03-11
    Available Online: 2023-09-13
    Abstract
  •   Objective  To investigate the postoperative analgesic effect of ultrasound-guided quadratus lumborum block(QLB) for microwave ablation of liver tumor.  Methods  A retrospective cohort study was conducted to collect 190 patients who underwent ultrasound-guided microwave ablation (MWA) of liver tumors at the First Affiliated Hospital of Anhui Medical University from January 2017 to December 2020, 40 patients of whom underwent ultrasound-guided QLB (research group) and the remaining 150 patients underwent general anesthesia only (control group). Baseline data related to postoperative pain were scored and matched 1∶ 1 by propensity score analysis to produce a study group and a control group, then the postoperative visual analogue scale (VAS) score, the quality of recovery-40 questionnaire (QoR40) score and the treatment for postoperative pain after operation were compared between the two groups.  Results  After propensity score matching, there was no statistical difference for the baseline data between the research group (40 patients included) and the control group (40 patients included) after matching. There was no statistical difference in the baseline data between the two groups (all P>0.05). The factors related to the postoperative pain were selected by single factor regression and then included in multi-factor regression. Multi-factor regression analysis showed that OLB was negatively correlated with postoperative pain (P < 0.05). There was no significant difference in the QoR40 scores [(171.85±10.14) points vs. (167.45±10.59) points]between the two groups (t=-1.884, P=0.065). The number of cases requiring treatment was reduced in the experimental group compared with the control group, however, the difference was not statistically significant (P=0.057).  Conclusion  Compared with the general anesthesia, the combination of preoperative QLB and general anesthesia can reduce the preoperative pain for the patients underwent hepatic MWA.

     

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