改良多点法腹横肌平面阻滞在腹部手术中的应用

Abstract
Figure/Table
References (19)
Related Citation (15)

Download: PDF (0 KB) HTML (34 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the application effect of modified multi-point method for transverse abdominis plane block (TAPB) in abdominal surgery. Methods A total of 60 patients who received abdominal surgery in the Department of Anesthesiology of Foshan Hospital of Traditional Chinese Medicine from January 2019 to November 2020 were selected as the research objects and divided into the observation group and the control group according to the random number table method, with 30 cases in each group. The observation group was treated with improved multipoint TAPB combined with general anesthesia, while the control group was treated with simple general anesthesia. The clinical status of patients in the two groups after different anesthesia was compared. Results The visual pain scale scores of the observation group at 2 h (T1), 4 h (T2), 12 h (T3) and 24 h (T4) postoperatively were lower than those of the control group, and the differences were statistically significant (P＜0.05). The postoperative hospitalization time, catheter extraction time, first anal exhaust time, medical recovery time and fluid diet time in the observation group were all shorter than those in the control group, and the differences were statistically significant (P＜0.05). The change levels of systolic blood pressure, diastolic blood pressure and heart rate indexes in the observation group were lower than those in the control group during skin cutting and after extubation, and the differences were statistically significant (P＜0.05).Conclusion In clinical patients needing abdominal surgery, modified multi-point method for TAPB combined with general anesthesia can significantly reduce the pain degrees of patients in different time periods, and simultaneously,can also shorten hospital stay, urinary catheter extraction time, first anus exhaust time, medical recovery time and fluid diet time, which can improve the safety of patients and stabilize patients′ blood pressure and heart rate in different time periods.

Key words： Abdominal surgery Modified multi-point method for transverse abdomine plane block General anesthesia Pain degree

Received: 28 December 2020

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I19/141

[1]	黄世伟，梁晨曦，邹彬，等.胸椎旁神经阻滞与多点肋缘下腹横肌平面阻滞在开腹肝脏手术术后镇痛的应用比较[J].国际麻醉学与复苏杂志，2020，41（3）：260-264.
[2]	张惠艳，李敏，周洪权，等.超声引导腹横肌平面阻滞麻醉对小儿腹部手术患者应激反应与免疫功能的影响[J].海南医学，2017，28（16）：2635-2638.
[3]	卢浩杰，王翔锋.不同入路腹横肌平面阻滞在小儿下腹部手术术后镇痛的应用[J].中国医学创新，2017，14（20）：16-20.
[4]	贺伟忠，闫国忠，张文学，等.超声引导下连续腹横肌平面阻滞在腹腔镜直肠癌根治术后多模式镇痛中的应用[J].医学研究杂志，2017，7（46）：158-161.
[5]	熊虹飞，李思远，刘鸿涛，等.超声引导下腹横肌平面阻滞在新生儿下腹部手术中的应用[J].临床麻醉学杂志，2018，34（8）：59-61.
[6]	占文武.超声引导下腹横肌平面阻滞复合气管插管全身麻醉在老年腹腔镜手术的应用效果[J].中外医学研究，2020，18（23）：28-30.
[7]	王翔锋，林芩，王祥静.不同入路腹横肌平面阻滞在小儿下腹部手术术后镇痛效果的差异[J].实用疼痛学杂志，2018，14（3）：200-204.
[8]	王赟，张萍，何香梅，等.超声引导下腹横肌平面阻滞在腹腔镜妇科手术后镇痛中的应用[J].解放军医学院学报，2019，40（11）：1030-1033.
[9]	岳霞影，王兰，陈文婷，等.右美托咪啶复合罗哌卡因腹横肌平面阻滞在腹部手术患者的应用效果[J].中国医师杂志，2020，22（5）：749-752.
[10]	张军，熊照东.超声引导下腹横肌平面阻滞联合腹直肌鞘阻滞在结直肠癌根治术后镇痛中的应用[J].现代实用医学，2019，31（8）：135-143.
[11]	苏毅，殷杰.超声引导下腹横肌平面复合髂腹下神经阻滞在全麻剖宫产术后镇痛中的应用[J].中国药物与临床，2018，18（12）：2167-2168.
[12]	游卓玉.超声引导腹横肌平面阻滞应用在下腹部手术后的镇痛效果[J].中国卫生标准管理，2017，8（27）：140-142.
[13]	何莹，蔡放，王文元，等.腹横肌平面阻滞与骶管麻醉在儿童下腹部手术镇痛效应的meta 分析[J].浙江临床医学，2017，19（12）：2331-2333.
[14]	杨小立，谭婉仪，陈佳婷.腹横肌平面阻滞（TAPB）复合肋间神经阻滞在腹部手术术后镇痛中的作用[J].系统医学，2020，5（6）：65-68.
[15]	郑翠.B 超引导下腹横肌平面阻滞用于全麻下妇科腹部手术术后镇痛的效果[J].当代医学，2018，24（7）：134-135.
[16]	何东华.超声引导腹横肌平面阻滞对下腹部患者术后镇痛分析[J].数理医药学杂志，2020，33（4）：59-60.
[17]	曹存礼，黄波，黄守印.全身麻醉联合腹横肌平面阻滞对下腹部手术患者应激反应的影响[J].数理医药学杂志，2019，32（4）：505-507.
[18]	宋涛.腹横肌平面阻滞镇痛对腹腔镜结肠癌根治术患者早期恢复质量的影响[J].安徽医学，2017，38（3）：324-327.
[19]	张俊繁，蔡雪峰，陈聪，等.超声引导腹横肌平面阻滞应用于妇科腹腔镜手术后镇痛中的价值研究[J].中国医药科学，2020，（6）：120-122.