Postoperative sleep disorders, upper abdominal surgery, nerve block, postoperative analgesia
Conditions
Interventions
Oblique costal inferior transversus abdominis plane block ( ropivacaine ) group:Ultrasound-guided subcostal transversus abdominis plane block was performed with 0.375 % ropivacaine 20 ml 30 min before
Oblique costal inferior transversus abdominis plane block ( ropivacaine + dexmedetomidine ) group:Ultrasound-guided subcostal transversus abdominis plane block was performed with 0.375 % ropivacaine +
Blank control group:No nerve block was performed before operation, and intravenous inhalation combined anesthesia was routinely maintained. 50 mg flurbiprofen axetil was injected intravenously when th
Sponsors
Affiliated Hospital of Xuzhou Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: ( 1 ) Patients scheduled for elective upper abdominal ( stomach ) surgery ; ( 2 ) Age 18-75 years old.
Exclusion criteria
Exclusion criteria: ( 1 ) suffering from chronic pain syndrome ; ( 2 ) BMI > 35kg / m2 ; ( 3 ) Coagulation dysfunction ; ( 4 ) liver or kidney failure ; ( 5 ) Patients with different types of sleep disorders before surgery ; ( 6 ) local anesthetic allergy ; ( 7 ) The use of chronic opioids ; ( 8 ) Reject the experimenter ; ( 9 ) Pre-existing neurological defects or neuropathy affecting the thoracic and lumbar plexus ; ( 10 ) ASA grade IV or higher patients ; (11) Patients with different types of mental disorders or extremely nervous and difficult to sleep before surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sleep quality on the first day after operation;Postoperative sleep quality for 7 consecutive days.; | — |
Secondary
| Measure | Time frame |
|---|---|
| The changes of heart rate at 4 time points during operation.;Sufentanil dosage during operation;Intraoperative dosage of remifentanil;Resting state pain score within 48 hours after operation;Activity pain score within 48 hours after operation;Duration of postoperative analgesia ( the time between the completion of the operation and the first pain at the surgical site );Postoperative nausea and vomiting ( PONV ) at 24 h.;The number of PCA compressions at 48 hours after operation.;Postoperative quality of recovery score ( QoR-15 ) for 7 consecutive days.;The first feeding time after operation;The first postoperative exhaust time;Postoperative first defecation time;Hospitalization time; | — |
Countries
China
Contacts
Public ContactLiu Su
Department of Anesthesiology, Affiliated Hospital of Xuzhou Medical University
Outcome results
None listed