摘要
目的探讨超声引导下腹横肌平面神经阻滞在全身麻醉腹部手术中的应用。方法选取我院收治的全身麻醉腹部手术患者60例,采用抽签法随机分为对观察组和照组各30例,对照组采用常规全身麻醉,观察组则采用超声引导下腹横肌平面神经阻滞,比较两组应激反应及不良反应发生情况。结果两组皮质醇(Cor)、平均动脉压(MAP)和心率(HR)指标均呈现先升高后降低的趋势,组间、时点间、组间·时点间交互作用差异均有统计学意义(P<0.05),观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05),两组术后视觉模拟评分(VAS)比较,组间、时点间、组间·时点间交互作用差异均有统计学意义(P<0.05)。结论在全身麻醉腹部手术中应用超声引导下腹横肌平面神经阻滞能够有效降低术中应激反应,减少不良反应发生率,提高镇痛效果,值得推广。
Objective To get an insight into the application of ultrasound-guided transverse abdominal plane nerve block in abdominal surgery under general anesthesia.Methods A total of 60 patients admitted to our hospital for abdominal surgery under general anesthesia were selected as the research objects,and they were randomly divided into observation group and control group with the method of random sampling,with 30 cases in each group.The control group was given general anesthesia,while the observation group received ultrasound-guided transverse abdominal plane nerve block.The stress response and adverse reactions of both groups were compared.Results The cortisol(Cor),mean arterial pressure(MAP)and heart rate(HR)indexes in both groups showed a trend of first increasing and then decreasing,and the interaction between groups,time points,and intergroup at different points of time were statistically significant(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group,with statistically significant difference(P<0.05).Postoperative visual analogue score(VAS)between groups,time points,and intergroup at different points of time were statistically significant(P<0.05).Conclusion The application of ultrasound-guided transverse abdominal plane nerve block in abdominal surgery under general anesthesia can effectively reduce the stress response,reduce the incidence of adverse reactions,improve the analgesic effect,which is worthy of promotion.
作者
王振
WANG Zhen(Wujin Traditional Chinese Medicine Hospital of Changzhou City,Jiangsu 213161,China)
出处
《中国误诊学杂志》
CAS
2020年第7期308-311,共4页
Chinese Journal of Misdiagnostics
关键词
麻醉
全身
超声
腹横肌平面神经阻滞
腹部手术
应激反应
anesthesia,general
ultrasound
transverse abdominal plane nerve block
abdominal surgery
stress response
