摘要
目的观察TAP阻滞在开腹子宫全切术及子宫肌瘤剔除术的镇痛效果。方法行开腹横切口子宫全切除术或子宫肌瘤剔除术的患者40例(ASAⅠ/Ⅱ),随机均分为对照组和TAP阻滞组,在全麻诱导后B超定位下行TAP阻滞,注射0.9%氯化钠注射液和罗哌卡因,记录和比较术中芬太尼用量、术后补救镇痛药需求量及术后疼痛评分。结果TAP组较对照组,术中芬太尼用量明显减少(p<0.05);术后补救镇痛药需求率更低(P<0.05)。术后4 h NRS疼痛评分更低(P<0.05)。结论TAP阻滞在妇科开腹术中、术后镇痛效果是安全确切的。
Objective To assess the clinical analgesic effect of transversus abdominis plane （TAP） block at transab- dominal hysterectomy and myomectomy gynaecological surgeries. Methods Forty patients （ASA I/Ⅱ） undergoing transabdominal hysterectomy or myomectomy gynaecological surgery were randomly divided into control group （n = 20） and TAP block group （n = 20）. Ultrasound-guided TAP block was practiced after general anesthesia induction, ropivacaine and normal saline were injected in TAP block group and control group separately. Intra-operative fentanyl consumption, post-operative rescue analgesic requirements, and post-operative NRS pain score were compared be- tween the two groups. Results Intro-operative fentanyl consumption and post-operative rescue analgesic demand rate of TAP group were less than those of control group （P 〈 0. 05）. At the time of 4 hours after surgery, NRS pain score of TAP group was less than that of control group （P 〈 0. 05）. Conclusions TAP block can providea safe intro- and post-operative analgesia for transabdominal hysterectomy and myomectomy gynaecological surgeries.
出处
《基础医学与临床》
CSCD
北大核心
2014年第4期523-526,共4页
Basic and Clinical Medicine
