Effect of Ultrasound-Guided Stellate Ganglion Block Combined with Intravenous Anesthesia in Cervical Cancer Surgery
FANG Liang
Abstract：Objective To observe the effect of ultrasound-guided stellate ganglion block(SGB)combined with intravenous anesthesia on cervical cancer surgery.Methods A total of 86 patients with cervical cancer from the Second Affiliated Hospital of Henan University of Science and Technology from May 2021 to May 2023 were included.They were randomly divided into study group and control group,with 43 patients in each group.Both groups underwent laparoscopic radical cervical cancer surgery,while the control group received intravenous anesthesia during surgery,the study group received SGB combined intravenous anesthesia under ultrasound guidance.The heart rate(HR)and mean arterial pressure(MAP)of the two groups at entry(T0),immediately after anesthesia induction(T1),30 minutes after surgery(T2),and after surgery(T3)were compared.The degree of pain[visual analogue scale(VAS)]at 2,12,24 and 48 hours after operation was compared between the two groups.The postoperative indexes[recovery time,sedation degree(Ramsay sedation score),sufentanil dosage at 48 h after operation,pressing times of patient-controlled analgesia pump(PCIA)]were compared between the two groups.The incidence of adverse reactions in patients was counted.Results The HR and MAP of T0-T3 in two groups showed a trend of first decreasing and then increasing,and the decrease in the study group was smaller than that in the control group.The interaction effects between the two groups of HR and MAP at different time points were statistically significant(P＜0.05).The VAS scores of the two groups were statistically significant between groups,time points,and interaction effects(P＜0.05).The dosage of sufentanil and the effective number of PCIA compressions in the study group were lower than those in the control group(P＜0.05),and the incidence of nausea and vomiting was lower than that in the control group(P＜0.05).Conclusion Ultrasound-guided SGB combined with intravenous anesthesia can stabilize the hemodynamics of cervical cancer surgery patients,have good analgesic effects,and reduce the incidence of nausea and vomiting.
Keywords：cervical cancerultrasound-guided stellate ganglion blockhemodynamics
Publication Date：2025-01-14
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：4( 73-76 )