超声引导下腹横筋膜平面阻滞联合帕瑞昔布钠静脉注射对腹腔镜子宫肌瘤剔除术术后镇痛的效果被引量：11

Postoperative analgesic effects of ultrasound guided transversus abdominis plane block combined with intravenous parecoxib sodium on laparoscopic myomectomy

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摘要目的探讨超声引导下腹横筋膜平面(TAP)阻滞联合帕瑞昔布钠注射对腹腔镜子宫肌瘤剔除术术后镇痛的效果.方法选择腹腔镜子宫肌瘤剔除术患者80例,随机分为联合镇痛组和静脉镇痛组.联合镇痛组在麻醉后切皮前于超声引导下行TAP阻滞并联合帕瑞昔布钠静脉注射;静脉镇痛组术后应用舒芬太尼静脉患者自控镇痛(PCIA).分别记录术后1、4、8、12、24 h时患者VAS评分和舒适度评分(BCS),及两组患者不良反应的发生率.结果联合镇痛组1、4h时VAS评分低于静脉镇痛组,BCS评分高于静脉镇痛组(P＜0.05),两组患者术后8、12、24 h时VAS和BCS评分差异无统计学意义;联合镇痛组较静脉镇痛组术后不良反应发生率明显降低(P＜0.05).结论超声引导下腹横筋膜平面阻滞联合帕瑞昔布钠静脉注射用于腹腔镜子宫肌瘤剔除术术后镇痛效果确切,不良反应发生率低.

作者仇刘杰乔山青

机构地区广东省珠海市中西医结合医院(珠海市第二人民医院)麻醉科

出处《实用疼痛学杂志》 2018年第1期52-55,共4页 Pain Clinic Journal

关键词腹横筋膜阻滞超声检查帕瑞昔布钠疼痛手术后镇痛病人控制子宫肿瘤腹腔镜

分类号 R6 [医药卫生—外科学]

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3张大志,王怀江,刘永盛,周海滨.不同剂量地塞米松对罗哌卡因神经阻滞作用的影响[J].临床麻醉学杂志,2013,29(3):213-215. 被引量：40
4林传尧,岳云,柳娟.舒芬太尼术后病人自控静脉镇痛的观察[J].临床麻醉学杂志,2004,20(1):51-52. 被引量：215

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