腹横筋膜阻滞在妇科腔镜手术术后镇痛的应用

Application of Transverse Abdominal Fascial Block in Analgesia after Gynecological Endoscopic Surgery

目的:探讨腹横筋膜阻滞(Tap)在妇科腔镜手术术后镇痛中的应用效果。方法:随机抽取2018年1月-2019年1月笔者所在医院收治的102例妇科腹腔镜手术患者。摸球法分组,对照组(51例)术后应用镇痛泵,研究组(51例)行腹横筋膜阻滞。比较两组麻醉效果。结果:研究组术后1、6、12、24 h时VAS评分均低于对照组,差异均有统计学意义(t=10.943、10.905、11.479、16.026,P<0.05);研究组术后1、6、12、24 h时Ramsay评分均低于对照组,差异均有统计学意义(t=4.528、3.849、3.481、2.610,P<0.05);两组麻醉不良反应发生率比较差异无统计学意义(x^2=0.000,P=1.000)。结论:妇科腹腔镜手术中应用腹横筋膜阻滞可改善术后镇痛、镇静效果,且不良反应少,值得临床推广。

Objective:To investigate the effect of transverse abdominal fascial block(Tap)on analgesia after gynecological laparoscopic surgery.Method:A total of 102 gynecological laparoscopic surgery patients admitted to the hospital from January 2018 to January 2019 were randomly selected,and were divided into two groups by touching the ball.The control group(51 cases)was treated with analgesic pump after operation,while the study group(51 cases)was treated with transverse abdominal fascial block.The anesthesia effect was compared between the two groups.Result:The VAS score of the study group at 1,6,12 and 24 h after operation were lower than those of the control group,the differences were statistically significant(t=10.943,10.905,11.479,16.026,P<0.05).The Ramsay score of the study group at 1,6,12 and 24 h after operation were lower than those of the control group,the differences were statistically significant(t=4.528,3.849,3.481,2.610,P<0.05).There was no significant difference in the incidence of adverse reactions to anesthesia between the two groups(x^2=0.000,P=1.000).Conclusion:The application of transverse abdominal fascia block in gynecological laparoscopic surgery can improve the effect of analgesia and sedation,and has less adverse reactions,which is worthy of clinical promotion.