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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 被引量:11

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摘要 结直肠癌根治术后疼痛明显,临床中有多种方式缓解患者术后疼痛。腹横肌平面阻滞(TAP)在腹部手术患者中发挥了良好的术后镇痛效果[1],但另有研究显示,TAP对结直肠癌根治术患者术后镇痛效果欠佳,可能与其阻滞范围有关[2]。
作者 张军 熊照东
出处 《现代实用医学》 2019年第8期1121-1122,1129,共3页 Modern Practical Medicine
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  • 1Soper NJ, Stockmann PT, Dunnegan DL, et al. Laparoscopic cholecystectomy. The new 'gold standard'? ArchSurg, 1992, 127(8) : 917-921 : discussion 921-923.
  • 2Tran TM, Ivanusic JJ, Hebbard P, et al. Determination of spread of injectate after ultrasound-guided transversus abdo- minis plane block: a cadaveric study. Br J Anaesth, 2009, 102(1):123-127.
  • 3Bashandy GM, Elkholy AH. Reducing postoperative opioid consumption by adding an ultrasound-guided rectus sheath block to multimodal analgesia for abdominal cancer surgery with midline incision. AnesthPain Med, 2014, 4(3):e18263.
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  • 5Hilvering B, Draaisma WA, van der Bilt JD, et al. Random- ized clinical trial of combined preincisional infiltration and in- traperitoneal instillation of levobupivacaine for postoperative pain after laparoscopic cholecystectomy. Br J Surg, 2011, 98 (6) : 784-789.
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  • 7Zwicker JD, Zhang Y, Ren J, et al. Glial TLR4 signaling does not contribute to opioid-induced depression of respiration. J Appl Physiol(1985), 2014, 117(8):857-868.
  • 8Elamin G, Waters PS, Hamid H, et al. Efficacy of a laparo- scopically delivered transversus abdominis plane block tech- nique during elective laparoscopic cholecystectomy: a pro- spective, double-blind randomized trial. J Am Coll Surg, 2015, 221(2) :335-344.
  • 9El-Dawlatly AA, Turkistani A, Kettner SC, et al. Ultra- sound-guided transversus abdominis plane block: description of a new technique and comparison with conventional systemic analgesia during laparoseopic cholecystectomy. Br J Anaesth, 2009, 102(6):763-767.
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