临床医学工程2024,Vol.31Issue(5):537-538,2.DOI:10.3969/j.issn.1674-4659.2024.05.0537
超声引导下腹横肌平面阻滞复合喉罩全麻在腹腔镜胆囊切除术患者中的应用
Application of Ultrasound-Guided Transversus Abdominis Plane Block Combined with Laryngeal Mask General Anesthesia in Patients Undergoing Laparoscopic Cholecystectomy
李信双 1周威1
作者信息
- 1. 南阳市中心医院肿瘤医院手术室麻醉科,河南南阳 473000
- 折叠
摘要
Abstract
Objective To explore the application effect of ultrasound-guided transversus abdominis plane block(TAPB)combined with laryngeal mask general anesthesia in patients undergoing laparoscopic cholecystectomy(LC).Methods 60 patients undergoing LC in our hospital from July 2020 to August 2022 were selected and randomly divided into control group(n=30)and study group(n=30).The control group received laryngeal mask general anesthesia,and the study group received ultrasound-guided TAPB combined with laryngeal mask general anesthesia.The hemodynamic indicators and postoperative VAS score were compared between the two groups.Results At T1,no statistical difference was found in the MAP and HR levels between the two groups(P>0.05).At T2,T3 and T4,the MAP and HR levels of the study group were lower than those of the control group(P<0.05).2 h,6 h,12 h and 24 h after operation,the VAS scores of the study group were lower than those of the control group(P<0.05).Conclusions Ultrasound-guided TAPB combined with laryngeal mask general anesthesia applied in LC patients can achieve ideal anesthetic effect,which can help maintain the body hemodynamic stability and reduce postoperative pain degree,which is worthy of clinical promotion and application.关键词
腹腔镜胆囊切除术/超声引导下腹横肌平面阻滞/喉罩全麻/血流动力学指标/疼痛程度Key words
Laparoscopic cholecystectomy/Ultrasound-guided transversus abdominis plane block/Laryngeal mask general anesthesia/Hemodynamic indicator/Pain degree分类
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李信双,周威..超声引导下腹横肌平面阻滞复合喉罩全麻在腹腔镜胆囊切除术患者中的应用[J].临床医学工程,2024,31(5):537-538,2.