Application Of Ultrasound-guided Quadratus Lumbosum Block In Laparoscopic Radical Resection Of Colorectal Cancer

Background and ObjectivesCultured bowel cancer in the incidence of tumor disease in my country,as a malignant tumor of a digestive system,and is very common,and its incidence has increased with a gradual increase in the quality of life quality in our people.The colorectal cancer root can be carried out with minimally invasive-laparoscopic assistance,and the patient’s trauma can reduce the patient’s bleeding,accelerate the characteristics of postoperative recovery of patients.At present,due to its small surgical trauma,the patient has recovered fast,and the hospital stay has been widely used in clinical application [1].Under the guidance of accelerating the concept of Kang Surgery,we implemented different perioperative surgical treatment strategies,reducing the short-term prognosis of stress generated by surgery in a variety of ways.In patients with colorectal cancer root surgery,use the concept of accelerated rehabilitation surgery,adjust the strategy,and rapidly increase the results of significant short-term prognosis,but after surgery,severe pain will increase the patient’s stress response,part or even unbearable,and then delay Its postoperative rehabilitation process [2].The past analgesia is mainly based on postoperative venous self-controlled analgesia or epidural self-controlled analgesia,and has become an important means of surrounding analgesia.Multi-mode analgesia passes through a variety of drugs and anesthesia methods,blocking pain in multiple levels,while reducing the adverse effects of traditional analgesia,is the ideal perioperative analgesic method.The peripheral nerve block is an indispensable method in multi-mode analgesics.Ultrasound guidance is widely spread,and it can be used as an analgesic manner as an intraoperative analgesic in the abdominal region.As visualized ultrasound guidance Development,it is increasingly become a new torso neurlet method accepted by clinicians.[3] It is blocked by the conduction of abdominal scope(including abdominal wall pain,visceral pain)pain signal,and cut off its neuronal conduction pathway,Effective role of pain.Therefore,this study combined with the fast rehabilitation concept on the existing blocking town pain,in the analgesic programs of the colorectal cancer,the agglutation of the colorectal cancer,and the waist is blocked under ultrasound.It has a certain role in the analgesic effect,and clinical research is important.Subjects and MethodChoose July 2018 to June 2020,in the Central Hospital of Shantou City,the center of Town,the Towel Mirror,in line with the American Anesthesiologist(ASA)anesthesiopathic condition class I ～ II patients(43-84 years old)86 As the study object,according to the postoperative analgesic program,it divided into two groups,the study group and the control group,43 patients,43 patients in the study group were divided into three different ways of waist muscle blocking.Group,study Group(15 cases),studied B(14 cases),and studied C group(14cases).The control group used a simple vein self-controlled analgesic pump,and the study group used QLB and post-controlled analgesic analgesia,and the study was QLB1,and the Group was QLB2.The C group was QLB3,with this evaluation group Cognitive function,effective analgesia time and hospitalization time,different time point VAS scores,analgesic effect,24 hours after surgery,Shufen Tani is used to prepare intravenous analgesia pumps with an analgesic pump(Including the total amount of complications,complications.ResultPostoperative Research Group Cognitive Function Score was significantly higher than that of the control group(P <0.05).Patients with research groups were significantly shorter than the control group(p <0.05).The effective analgesia of the research group program was significant.Higher than the control group(p <0.05).The incidence of complications in patients in the study group was significantly lower than that of the control group(P <0.05).The study group was 6hours,12 hvas score was lower than control(P <0.05).Three group analgesic effects of the test group ABC were significantly higher than that of the control group(P <0.05).The total amount group ABC of PCIA dosages and analgesic pumps in the three groups of three ABCs was significantly lower than that of the control group(P <0.05).ConclusionIn patients with laparoscopic rectal cancer root,medium perioperative surgery is used in preoperative preventive analgesia,and the waist is used in advance using ultrasonic guidance,and Joint PCIA is in line with ERAS,which can effectively improve the patient’s perioperative town.The effect of pain can effectively inhibit the abdominal wall of the patient,so that the patient’s pain signal impulse cannot be smoothly conducted to the central nervous system,which can effectively block the patient’s neurosphalabability,thereby achieving the effect of preventive analgesia,and prolong the effective analgesic time of patients.Reduce patients due to the discomfort caused by postoperative pain,reduce the incidence of complications caused by pain,reduce the use of analgesic drug such as postoperative opioid,while cognitive dysfunction of postoperative mental state There is a certain positive role,it is worthy of clinical promotion.