gastric carcinoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 20 to 75 years old; 2. Elective laparoscopic radical gastrectomy for gastric cancer; 3. BMI1 8 to 35; 4. ASA I~III; 5. Agree to receive ultrasound-guided quadratus lumbar nerve block and sign informed consent.
Exclusion criteria
Exclusion criteria: 1. Patients with severe heart, lung, brain, liver, kidney and other basic diseases; 2. Patients with contraindications for nerve block; 3. Patients with cognitive impairment and unable to complete data collection; 4. Recent use of sedatives or analgesics; 5. Patients allergic to local anesthetics; 6. Patients with previous abdominal operation history or conversion to open surgery; 7. Preoperative long-term poor glycemic control / diabetic patients; 8. Patients with metabolic disorders associated with increased / decreased cortisol.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| VAS scores at 0, 6, 12, 24 and 48 hours after operation;Preoperative blood glucose, cortisol, T cell subsets (CD3 +, CD4 +, CD8 +) levels;Blood glucose, cortisol and T cell subsets (CD3 +, CD4 +, CD8 +)levels were measured at 0, 12, 24 and 48 hours after operation;Time of first exhaust after operation;The first time to get out of bed after operation;Time of first fluid diet after operation;PCIA press times after operation;Total use of remedial analgesics;Total use of opioids in perioperative period; | — |
Secondary
| Measure | Time frame |
|---|---|
| Hemodynamic changes before and after skin incision (MBP, HR);Onset time and range of posterior quadratus lumborum block;Postoperative adverse reactions; | — |
Countries
China
Contacts
Second Hospital of Shandong University