超声引导下腹横筋膜平面阻滞复合全麻用于妇科腹腔镜手术的麻醉效果观察

Anesthetic effect of ultrasound-guided transversus abdominis plane block with general anesthesia during gynecological laparoscopic surgery

目的观察超声引导下腹横筋膜平面(TAP)阻滞复合全麻用于妇科腹腔镜手术的麻醉效果。方法 82例全麻下妇科腹腔镜手术治疗患者随机分为观察组和对照组,麻醉诱导后观察组于超声引导下行TAP阻滞,对照组注入等容量的生理盐水。观察两组恢复时间、芬太尼用量、疼痛程度、镇静程度和不良反应。结果观察组苏醒时间、拔管时间、排气时间均短于对照组,芬太尼用量少于对照组(P<0.01);术后2、24 h视觉模拟评分低于对照组(P<0.01)。两组Ramsay评分和不良反应发生率差异无统计学意义(P>0.05)。结论超声引导下TAP阻滞复合全麻用于妇科腹腔镜手术安全、有效,可减轻疼痛,减少芬太尼用量。

Objective To observe the anesthetic effect of ultrasound-guided transversus abdominis plane(TAP)block with general anesthesia during gynecological laparoscopic surgery(GLS).Methods Eighty-two GLS patients randomly received ultrasound-guided TAP block(observation group)or normal saline(control group)after anesthesia induction.The recovery time,fentanyl dosage,pain,sedation and adverse reactions were compared between two groups.Results Compared with control group,awakening,extubation and exhaust time,fentanyl dosage,and visual analogue scale at 2 h and 24 h were lower in observation group(P<0.01).There was no significant difference in Ramsay score and adverse reactions between two groups(P>0.05).Conclusion Ultrasound-guided TAP block with general anesthesia is safe and effective for GLS by reducing pain and fentanyl dosage.