中国医科大学学报2017，Vol.46Issue(8)：694-697,4.DOI:10.12007/j.issn.0258-4646.2017.08.006
超声引导下腹横肌平面阻滞和切口局麻药浸润在腹腔镜胆囊切除术后镇痛效果的比较
Postoperative Analgesic Effect of Ultrasonography-guided Transversus Abdominis Plane Block in Laparoscopic Cholecystectomy: Comparison with Local Wound Infiltration
摘要
Abstract
Objective To compare the postoperative analgesic effect of ultrasonography-guided transversus abdominis plane (TAP) block and local wound infiltration in laparoscopic cholecystectomy (LC).Methods Fifty patients who underwent LC were randomly assigned to receive TAP block (T group) or local wound infiltration (A group).In group T,40 mL of 0.25％ mpivacaine was administered in TAP block.In group A,0.5％ ropivacaine was injected around the trocar and extraction site.Mean arterial pressure (MAP) and heart rate (HR) were recorded at baseline,before incision,and 3 min after pneumoperitoneum.The dosages of remifentanil and sufentanil and the incidence of postoperative nausea and vomiting (PONV) were also recorded.Visual analogue scale (VAS) scores for resting and coughing states were assessed at 0,1,2,6,and 24 hours after operation.Results Compared with group A,the dosage of remifentanil was less,and MAP and HR at 3 min after pneumoperitoneum were significantly lower in group T (P ＜ 0.05).No significant difference was found in VAS score at resting state.In group T,the VAS scores at coughing state in the postanesthesia care unit immediately,1 h,and 2 h after operation were lower than those in group A (P ＜ 0.05).The sufentanil dosage was less in group T than in group A (P ＜ 0.05).No significant difference was found in the incidence of PONV.Conclusion The postoperative analgesic effect of TAP block is the same as that in local wound infiltration.However,it can reduce the pain score in the movement state and reduce the opioid dosages.关键词
腹横肌平面阻滞/超声引导/腹腔镜胆囊切除术Key words
transversus abdominis plane block/ultrasound-guided/laparoscopic cholecystectomy分类
医药卫生引用本文复制引用
龙波,孙唯韦,肖甄男,宋幽平..超声引导下腹横肌平面阻滞和切口局麻药浸润在腹腔镜胆囊切除术后镇痛效果的比较[J].中国医科大学学报,2017,46(8):694-697,4.基金项目
辽宁省社会发展攻关计划(2012225021) （2012225021）
