超声引导腹横肌平面阻滞对腹腔镜胃癌术后镇痛的影响被引量：13

Effect of Ultrasound-guided transversus abdominis plane block on postoperative analgesia in patients undergoing laparoscopic gastrectomy

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摘要目的探讨超声引导腹横肌平面(TAP)阻滞对腹腔镜胃癌术后镇痛效果的影响。方法择期全麻下行腹腔镜胃癌手术的患者40例,随机均分为2组:腹横肌平面阻滞组(T组)和对照组(C组)。T组术毕行超声引导双侧TAP阻滞,注射0.2%罗哌卡因20ml,C组不阻滞;两组均行PCIA,术后2、6、12、24和48h时行疼痛VAS评分、Ramsay镇静评分及BCS舒适度评分。记录术后48h内PCIA的按压次数及不良反应的发生情况。结果结果与C组比较,T组术后2、6和12h的VAS评分均明显降低,BCS舒适度评分明显升高(P<0.05);术后48h内T组PCIA按压次数少于C组(P<0.05)。结论 TAP阻滞联合PCIA用于腹腔镜胃癌术后镇痛是安全有效的。 Objective To investigate the effect of ultrasound-guided transversus abdominis plane block on postoperative analgesia in patients undergoing laparoscopic gastrectomy.Methods 40 patients scheduled for laparoscopic gastrectomy under general anesthesia were randomly divided into 2groups：TAP group（group T）and control group（group C）.After surgery,bilateral ultrasound guided TAP block was implemented with 0.2%ropivacaine 20 ml in each side in group T,and TAP was not done in group C.Both groups underwent patient controlled intravenous analgesia（PCIA）.It was recorded that VAS scores,Ramsay scores and BCS comfort scores at 2,6,12,24,48 hafter surgery.It was recorded that patient pressing times and the adverse effects after surgery within 48 hafter surgery.Results Compared with group C,T group after 2,6and 12 hVAS scores were significantly lower,BCS comfort score was significantly increased.（P〈0.05）The numbers of pressing times in group T were less than those in group C.（P〈0.05）Conclusion TAP block combined with PCIA analgesia for laparoscopic gastric surgery is safe and effective.

作者刘炜李红彬张海静

机构地区北京市燕京医学院附属良乡医院麻醉科首都医科大学附属北京世纪坛医院麻醉科手术室

出处《中国实验诊断学》 2017年第1期47-49,共3页 Chinese Journal of Laboratory Diagnosis

关键词超声引导腹横肌平面阻滞术后镇痛 Ultrasound guided Transversus abdominis plane block Postoperative analgesia

分类号 R614 [医药卫生—麻醉学] R735.2 [医药卫生—肿瘤]

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