摘要
目的:探讨甲磺酸罗哌卡因超声引导腹横肌平面(TAP)阻滞对疝囊高位结扎术后的镇痛效果。方法:选取拟行单侧腹股沟斜疝疝囊高位结扎的患儿160例,随机分为A、B组,每组各80例。A组予以甲磺酸罗哌卡因超声引导TAP阻滞,B组予以全凭静脉麻醉,比较两组的血流动力学指标和术后镇痛效果。结果:A组T2~T4各时点SBP、DBP、HR、MAP均低于B组(P<0.05或P<0.01);A组术后4h、术后8h CHEOPS评分均低于B组(P<0.05或P<0.01),A组术后镇痛泵按压次数低于B组水平(P<0.05)。结论:甲磺酸罗哌卡因超声引导腹横肌平面阻滞对疝囊高位结扎术后具有较好的镇痛效果。
Objective: to investigate the mesylate, pp because abdominal transverse plane(TAP) guided by ultrasound block analgesia effect of hernia sac high ligation. Methods: to select fitting line of unilateral inguinal hernia sac high ligation of children 160 cases, randomly divided into group A and B, 80 cases in each group. To group A mesylate, pp because the TAP block guided by ultrasound, group B shall be complete by intravenous anesthesia, comparing two groups of hemodynamic indices and postoperative analgesia effect. Results: group A T2 to T4 each point SBP, DBP, HR and MAP were lower than that of group B(P < 0.05 or P < 0.01); Group A postoperative 4 h, 8 h CHEOPS postoperative scores were lower than that of group B(P < 0.05 or P < 0.01), postoperative analgesia pump pressure group A number lower than group B(P < 0.05). Conclusion: mesylate pp because abdominal transverse plane block guided by ultrasound to the hernia sac high ligation, has a better analgesic effect.
出处
《中国妇幼健康研究》
2016年第S2期126-127,共2页
Chinese Journal of Woman and Child Health Research
基金
河北省医学科研研究重点课题20160408
