摘要
目的:观察单侧腹股沟疝修补术患者应用超声引导下持续腹横肌平面阻滞技术进行术后镇痛的效果。方法:采用笔者所在医院2015年2月-2016年7月收治的择期单侧腹股沟疝修补术的患者66例,随机分为A组(阻滞组)、B组(对照组);术后所有患者在超声引导下行腹横肌平面置管,A组给予0.25%罗哌卡因20 ml之后,以5 ml/h持续泵入0.2%罗哌卡因;B组给予生理盐水20 ml,之后以5 ml/h持续泵入生理盐水。记录手术后2、4、6、12、24、48 h疼痛的视觉模拟评分(VAS),补救镇痛药物的用量,以及相应的不良反应,并进行对比。结果:与B组相比,A组术后VAS评分在2、4 h时均处于较低水平,在6、12、24及48 h均有显著降低(P<0.05),补救镇痛药物的用量亦有显著减少(P<0.05)。两组患者均未见到麻醉相关的不良反应。结论:超声引导下持续腹横肌平面阻滞能为腹股沟疝修补术患者提供安全良好的术后镇痛效果,并能减少补救性镇痛药物用量。
Objective： To observe the analgesic efficacy of ultrasound-guided continuous TAp block in patients undergoing unilateral inguinal hernia repair.Method： Sixty six patients in our hospital from February 2015 to July 2016, scheduled for elective unilateral inguinal hernia repair, were randomly divided into A group （block group） and B group（control group）.All patients received ultrasound-guided TAP catheter following surgery.Patients in A group was given 20 ml of 0.25% Ropivacaine through the catheter, followed by infusion of 0.2% Rop]vacaine in speed of 5 ml/h.Patients in B group was given 20 ml of normal saline（NS） through the catheter, followed by infusion of normal saline（NS） in speed of 5 ml/h.Visual analogue seale（VAS） pain score at different postoperative time points（2, 4, 6, 12, 24, 48 h）, total analgesic consumption and adverse reaction were recorded and compared with each group.Result： Compared with B group, VAS scores at 2, 4 h in A group were lower~ there were significant decrease in VAS scores at 6, 12, 24 and 48 hours in A group（P〈0.05）.Opioids and non-opioids consumption were also significantly reduced in A group than B group（P〈0.05）.No complication was reported in both groups.Conclusion： Ultrasound-guided continuous TAP block can provide safe and good postoperative analgesia, and reduce remedial analgesic requirement for patients of inguinal hernia surgery.
作者
贺云鹏
黄晓梅
王伟
黄霖彦
孙来保
HE Yun- peng HUANG Xiao-mei WANG Wei et al(Hniya Hospital of Sun Yat-Sen University in Hnizhou City, Huizhou 516081, China)
出处
《中外医学研究》
2017年第23期6-8,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
广东省惠州市科技计划项目(项目编号:2015Y269)
关键词
持续腹横肌平面阻滞
腹股沟疝修补
术后镇痛
Continuous transversus abdominis plane block
Inguinal hernia repair
Postoperative analgesia
作者简介
通讯作者：孙来保
