Effects of the Ultrasound-Guided Stellate Ganglion Block on Hemodynamics, Stress Response, and Gastrointestinal Function in Postoperative Patients with Colorectal Cancer

Abstract

Objective. The aim of the study was to study the effects of the ultrasound-guided stellate ganglion block on hemodynamics, stressful response, and postoperative gastrointestinal functions in patients with colorectal cancer. Methods. A total of 100 patients with colorectal cancer hospitalized from January 2021 to December 2021 were selected. After anesthesia induction, the right stellate ganglion block was performed under ultrasound guidance in the research group and the general anesthesia was performed in the control group. The heart rate (HR), mean arterial pressure (MAP), epinephrine, cortisol, self-rating anxiety scale (SAS), Ramsay sedation score (RSS), postoperative bowel sound recovery time, anal exhaust time, and the incidence of gastrointestinal adverse reactions 24 hours after operation were studied pre-and post-24-hour anesthesia induction. Results. Following 24-hour operation, the HR and MAP values were largely reduced $\left(p<0.05\right)$ . Following 24-hour operation, epinephrine and cortisol became obviously higher $\left(p<0.05\right)$ . After 24-hour operation, the levels of epinephrine and cortisol in the research group were greatly lower. The score of the SAS in the study cohort was less than that of the controls $\left(p<0.05\right)$ . The RSS of the research group was obviously increased $\left(p<0.05\right)$ . The recovery time of intestinal sound and the anal exhaust time of the study cohort became remarkably shorter $\left(p<0.05\right)$ . The incidence of gastrointestinal adverse reactions 24 hours after operation of the study cohort was much less common $\left(p<0.05\right)$ . Conclusion. The ultrasound-guided stellate ganglion block can reduce the fluctuation of blood circulation during radical resection of colorectal cancer, reduce postoperative gastrointestinal dysfunction and stress reaction, relieve patients’ anxiety, and contribute to the recovery of gastrointestinal function.