超声引导腹横肌平面阻滞对开腹手术患者术后转归的影响

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Abstract Objective To observe the effects of ultrasound-guided transversus abdominis plane block (TAPB)on postoperative outcome of patients undergoing open abdominal surgery.Methods A total of 60 patients who underwent laparotomy in our hospital from October 2017 to October 2018 were selected as the study subjects,and they were divided into group T(30 cases)and group C(30 cases)according to random number table method.TAPB and patient-controlled intravenous analgesia(PCA)were performed after operation in group T.PCA was performed after operation in group C.Pain visual analogue scale (VAS),Bruggrmann comfort scale(BCS),PCA compression times,satisfaction degree and postoperative complications at different time points were compared between the two groups.Results VAS score in group T was significantly lower than in group C at 2,4,6,8 and 12 hours (P＜0.05),and BCS score was significantly higher than in group C (P＜0.05).At 24 hours in group T and group C,VAS BCS scores were not statistically significant(P＞0.05).Times of pressing analgesia pump in group C was higher than in group T (P＜0.05),and satisfaction degree in group T was higher than in group C (P＜0.05).There were no significant differences in incidence of nausea,vomiting and respiratory depression between group T and group C(P＞0.05),and no complications of TAPB were observed in group T.Conclusion TAPB is consistent with precise anesthesia and enhanced recouery after surgery.It provides effective analgesic for open abdominal patients and positive impacts on the prognosis of abdominal surgery.It is worthy of promoting in clinical.

Key words： Ultrasound-guided Transversus abdominis plane block Pain visual analogue scale Bruggrmann comfort scale

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	Articles by authors
	SHI Li
	LIU Shi-wen
	LI Hong
	ZHONG Sheng-hong

Cite this article:

SHI Li,LIU Shi-wen,LI Hong, et al. Effects of ultrasound-guided transversus abdominis plane block on postoperative outcome of patients undergoing open abdominal surgery[J]. 中国当代医药, 2019, 26(5): 174-176.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I5/174

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