南京师大学报（自然科学版）2026，Vol.49Issue(3)：96-102,7.DOI:10.3969/j.issn.1001-4616.2026.03.011
系统化镇痛护理联合腹横筋膜平面阻滞对腹腔镜胃癌手术患者疼痛的影响及作用机制的探讨
Observation of the Effectiveness of Systemic Analgesia Combined With Transverse Abdominal Muscle Plane Blockade in Patients Undergoing Laparoscopic Gastric Cancer Surgery
摘要
Abstract
The study aims to investigate the clinical application value of systemic analgesia combined with transversus abdominis plane block(TAPB)in postoperative analgesia for patients undergoing laparoscopic gastric cancer surgery,analyze its impact on postoperative analgesic effects and the quality of nursing interventions,and enhance postoperative rehabilitation efficiency and nursing satisfaction.A total of 120 patients who underwent gastric cancer radical resection at a tertiary grade A oncology specialized hospital from January 2024 to June 2025 were selected as the research subjects.The participants were randomly divided into an observation group and a control group employed with the random number table method,with 60 cases in each group.All the participants underwent laparoscopic gastric cancer surgery under general anesthesia.The control group received a systemic analgesia after surgery,while the observation group was treated with transversus abdominis plane block technology in addition to the same regimen as the control group.Various indicators were compared between the two groups,including postoperative pain scores(visual analog scale,VAS),the total dosage of analgesic drugs,the time to first ambulation,the length of hospital stay,the incidence of adverse reactions,and nursing satisfaction.The VAS scores of the observation group at 6 h,12 h,24 h,and 48 h after surgery were significantly lower than those of the control group,with statistically significant differences(P<0.05).The total postoperative analgesic dosage in the observation group was significantly lower than that in the control group(P<0.05).The time to first ambulation and the length of hospital stay in the observation group were better than those in the control group(P<0.05).The nursing satisfaction in the observation group was higher than that in the control group(P<0.05),and the incidence of adverse reactions(such as nausea,excessive sedation,and respiratory depression)was lower than that in the control group(P<0.05).The application of systemic analgesia combined with transversus abdominis plane block in anesthesia nursing after gastric cancer radical resection can significantly enhance the analgesic effect,reduce the dosage of analgesic drugs,shorten the rehabilitation time,and improve nursing satisfaction and safety.It demonstrates good clinical practicability and promotion value and is worthy of widespread application in oncology specialized nursing.关键词
系统化镇痛/腹横筋膜平面阻滞/腹腔镜胃癌手术/术后镇痛Key words
systemic analgesia/transversus abdominis plane block/laparoscopic gastric cancer surgery/postoperative analgesia分类
医药卫生引用本文复制引用
树海慧,吴雷,袁萍,岳超,谭婧..系统化镇痛护理联合腹横筋膜平面阻滞对腹腔镜胃癌手术患者疼痛的影响及作用机制的探讨[J].南京师大学报（自然科学版）,2026,49(3):96-102,7.基金项目
吴阶平医学基金会专项基金项目(320.6750.2022-18-50). （320.6750.2022-18-50）
