腹横筋膜阻滞联合布托啡诺超前镇痛在日间腹腔镜手术中的应用效果

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Abstract Objective To observe effect of transverse abdominal fascia block combined with Butorphanol preemptive analgesia in daytime laparoscopic surgery. Methods A total of 90 patients who underwent daytime laparoscopic cholecystectomy in Ganzhou People′s Hospital from January 1, 2021 to April 10, 2021 were selected as the research subjects, and were divided into study group (45 cases) and control group (45 cases) according to random number table. In the study group, 0.01 mg/kg Butorphanol was given intranasally 10 min before induction of anesthesia, while in the control group, the same dose of normal saline was given intranasally. After surgery, bilateral transverse abdominal fascia was blocked under ultrasound guidance in both groups. The dosage of Remifentanil, operation time, anesthesia time, extubation time and stay time in resuscitation room were compared between the two groups. Postoperative analgesia scores were scored at 2, 4, 6, 12 h after surgery and at the time of discharge (T1-T5). The number of additional tramadol patients, the incidence of adverse reactions, analgesic satisfaction and the rate of untimely discharge during postoperative analgesia were analyzed. Results There were no significant differences in Remifentanil dosage, operation time, recovery time, extubation time and stay time in resuscitation room between two groups (P＞0.05). The visual analog scale (VAS)score of the study group at T1-T4 were lower than those of the control group, and the differences were statistically significant (P＜0.05). The additional number of Tramadol in the study was less than that in the control group, the satisfaction of study group was higher than that of the control group, and the incidence of postoperative nausea, vomiting and lethargy in the study group was lower than the control group, and the differences were statistically significant (P＜0.05).There was no significant difference in the rate of untimely discharge between the two groups (P＞0.05). Conclusion Ultrason-guided transverse abdominal fascia block combined with nasal preemptive analgesia of butorphano is suitable for analgesia in daytime laparoscopic cholecystectomy, which can provide a good analgesic effect and does not affect the recovery time of patients, with high safety.

Key words： Transversus abdominis plane block;Dexmedetomidine Butorphanol Preemptive analgesia Day surgery

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	HUANG Yi-sheng
	HUANG Ming-hui
	ZHONG Bao-lin

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HUANG Yi-sheng,HUANG Ming-hui,ZHONG Bao-lin. Effect of transverse abdominal fascia block combined with Butorphanol preemptive analgesia in daytime laparoscopic surgery[J]. 中国当代医药, 2021, 28(28): 118-121.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I28/118

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