腹横肌平面阻滞用于腹部手术术后镇痛的临床研究

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Abstract ObjectiveTo study the clinical effect of transverse abdominal plane (TAP)block applied in the postoperative analgesia of abdominal surgery.MethodsFrom January 2015 to April 2017,98 patients undergoing abdominal surgery admitted into our hospital were selected and they were divided into the two groups according to the random number table method,and there were 49 patients in each group.TAP block was performed in both groups.The control group was given normal saline,and the experimental group was given Ropivacaine.The pain score (VAS score),sedation degree(Ramsay score),comfort degree(BCS score),incidence rate of adverse reactions,and the useage of analgesic pump(drug use dose of 24 h analgesic pump,the duration from the first demand of analgesic pump to awakening and extubation,actual press times of analgesic pump,valid press times of analgesic pump,and the total effective rate of 24 h press)were compared between the two groups.ResultsAfter 0.5 h,2 h,6 h,12 h and 24 h,VAS score in the experimental group was lower than that in the control group,and Ramsay and BCS score were higher than those in the control group,and the difference was statistically significant(P＜0.05).There was no statistical difference of the total incidence of adverse reactions between the two groups(P＞0.05).The drug use dose of 24 h analgesic pump,actual press times of analgesic pump and valid press times of analgesic pump in the experimental group were fewer than those in the control group,the duration from the first demand of analgesic pump to awakening and extubation time in the experimental group was longer than that of the control group,and the total effective rate of 24 h press in the experimental group was higher than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion TAP block can reduce postoperative pain degree after abdominal surgery,improve the comfort degree and sedation effect,and has a higher safety.

Key words： Transverse abdominal plane block Abdominal surgery Analgesia Ropivacaine

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	Articles by authors
	HU Xiao-dong
	LI Kun
	ZHANG Hai-bo
	ZHANG Xiao-lin

Cite this article:

HU Xiao-dong,LI Kun,ZHANG Hai-bo, et al. Clinical study of transversus abdominis plane block applied in the postoperative analgesia of abdominal surgery[J]. 中国当代医药, 2018, 25(3): 63-66.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I3/63

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