摘要
Abstract
Objective To investigate the analgesic effect of ultrasound-guided erector spinae plane(ESP)block combined with transversus abdominis plane(TAP)block in laparoscopic cholecystectomy(LC).Methods A total of 66 patients who underwent LC in Jiamusi Central Hospital from July 2020 to July 2022 were divided into TAP group(33 patients)and ESP+TAP group(33 patients)according to the random number table method.The TAP group received ultrasound-guided TAP block before operation,and the ESP+TAP group received ultrasound-guided ESP combined with TAP block before operation.The hemodynamic indexes[heart rate(HR),mean arterial pressure(MAP)]at different time points[preoperative(T0),tracheal intubation(T1),30 min after operation(T2),end of operation(T3)],analgesic effect[visual analogue scale(VAS)],postoperative analgesia pump pressing times,total infusion volume of analgesic pump and anesthesia-related complications were compared between the two groups.Results There were no significant differences in HR and MAP at each time point during the perioperative period in the ESP+TAP group(P＞0.05),while there were significant differences in HR and MAP at each time point during the perioperative period in the TAP group(P＜0.05),and the HR and MAP at T1,T2 and T3 were higher than those in the ESP+TAP group(P＜0.05).The static and dynamic VAS scores of the ESP+TAP group were lower than those of the TAP group at 2 and 6 h after operation(P＜0.05).The pressing times of analgesic pump and the total amount of infusion of analgesic pump in ESP+TAP group were less than those in TAP group within 24 h after operation(P＜0.05).The incidence of anesthesia-related complications in the ESP+TAP group was lower than that in the TAP group(P＜0.05).Conclusion Ultrasound-guided ESP combined with TAP block can effectively maintain the perioperative hemodynamic stability of LC patients,and the postoperative analgesic effect is good.Meanwhile,it can reduce the number of analgesic pump compressions and the dosage of drugs,and reduce the risk of anesthesia complications.关键词
腹腔镜胆囊切除术/竖脊肌平面阻滞/腹横肌平面阻滞/超声引导/血流动力学/术后镇痛Key words
Laparoscopic cholecystectomy/Erector spinae plane block/Transversus abdominis plane block/Ultrasound-guided/Hemodynamics/Postoperative analgesia分类
医药卫生
