机器人外科学杂志（中英文）2025，Vol.6Issue(5)：813-818,6.DOI:10.12180/j.issn.2096-7721.2025.05.022
腹横肌平面阻滞联合舒芬太尼及布托啡诺静脉自控镇痛在3D腹腔镜结直肠癌手术中的应用
Application of transversus abdominis plane block combined with sufentanil and butorphanol in patient-controlled intravenous analgesia after 3D laparoscopic surgery for colorectal cancer
摘要
Abstract
Objective:To analyze the application effect of transversus abdominis plane block(TAPB)combined with sufentanil and butorphanol in patient-controlled intravenous analgesia(PCIA)after 3D laparoscopic surgery for colorectal cancer.Methods:120 patients who underwent 3D laparoscopic surgery for colorectal cancer at Linzi District People's Hospital of Zibo City from January 2018 to December 2023 were selected.They were divided into the control group(n=60,receiving sufentanil and butorphanol PCIA)and the observation group(n=60,receiving TAPB combined with sufentanil and butorphanol PCIA)using a random number table.Perioperative indicators,hemodynamics,respiratory function,postoperative analgesic efficacy,and inflammatory levels were compared between the two groups of patients.Results:The observation group showed significantly shorter recovery time,spontaneous breathing recovery time,reduced sufentanil consumption,lower bispectral index(BIS),and fewer PCA pump presses than the control group(P<0.05).Compared to the T0 timepoint(preoperative),both groups showed decreased HR,MAP,and PETCO2 levels at T1(intraoperative 15 min),T2(intraoperative 30 min),and T3(intraoperative 45 min).However,the observation group maintained higher HR,MAP,and PETCO2 levels at T1,T2,and T3 than the control group(P<0.05).Lower VAS scores at 8 h,12 h,and 24 h after surgery were observed in the observation group than the control group(P<0.05).WBC count,lymphocyte count,and neutrophil percentage were increased in the two groups after surgery,while they were lower in the observation group than the control group(P<0.05).Conclusion:The combination of TAPB with sufentanil and butorphanol PCIA in 3D laparoscopic surgery for colorectal cancer can shorten recovery and spontaneous breathing recovery times,reduce sufentanil consumption and PCA pump usage,and improve sedation satisfaction.Additionally,this approach can stabilize hemodynamic and respiratory parameters(HR,MAP,PETCO2),alleviate postoperative pain,and mitigate inflammatory responses.关键词
腹横肌平面阻滞/舒芬太尼/布托啡诺/3D腹腔镜/结直肠癌Key words
Transverse Abdominal Muscle Block/Sufentanil/Butorphanol/3D Laparoscope/Colorectal Cancer分类
临床医学引用本文复制引用
卢军伟,赵莹莹,李凤芸,李珍,单晓辉..腹横肌平面阻滞联合舒芬太尼及布托啡诺静脉自控镇痛在3D腹腔镜结直肠癌手术中的应用[J].机器人外科学杂志（中英文）,2025,6(5):813-818,6.基金项目
吴阶平医学基金会临床科研专项资助基金(320.6750.2023-19-15) （320.6750.2023-19-15）
2023年度全省中医药调研课题(ZYY2023019)Wu Jieping Medical Foundation Clinical Research Special Fund(320.6750.2023-19-15) （ZYY2023019）
2023 Annual Provincial Traditional Chinese Medicine(TCM)Research Projects(ZYY2023019) （TCM）
