实用医学杂志
實用醫學雜誌
실용의학잡지
THE JOURNAL OF PRACTICAL MEDICINE
2015年
7期
1137-1139
,共3页
腹横肌%神经传导阻滞%超声引导
腹橫肌%神經傳導阻滯%超聲引導
복횡기%신경전도조체%초성인도
Abdominal muscles%Nerve block%Ultrasound-guided
目的：观察研究超声引导腹横肌平面阻滞对下腹部患者术后镇痛效果。方法：全麻下行下腹部手术患者300例，随机分为罗哌卡因组（A组，n ＝151）和生理盐水组（B组，n ＝149）。术后行超声引导双侧作TAP 阻滞，分别注射0．375％罗哌卡因20 mL （A 组）或等容量生理盐水（B 组）。术后观察 VAS、Ramsay 及BCS评分。记录术后24 h内不良反应的发生情况。结果：两组VAS及Ramsay评分组间比较差异有统计学意义（P ＜0．05）。与B组比较，24 h内A组VAS评分下降（P ＜0．05）；BCS评分升高（P ＜0．05）；镇静水平未见统计学差异（P ＞0．05）；两组不良反应未见统计学差异（P ＞0．05）。结论：超声引导TAP阻滞可满足下腹部手术患者术后镇痛需求。
目的：觀察研究超聲引導腹橫肌平麵阻滯對下腹部患者術後鎮痛效果。方法：全痳下行下腹部手術患者300例，隨機分為囉哌卡因組（A組，n ＝151）和生理鹽水組（B組，n ＝149）。術後行超聲引導雙側作TAP 阻滯，分彆註射0．375％囉哌卡因20 mL （A 組）或等容量生理鹽水（B 組）。術後觀察 VAS、Ramsay 及BCS評分。記錄術後24 h內不良反應的髮生情況。結果：兩組VAS及Ramsay評分組間比較差異有統計學意義（P ＜0．05）。與B組比較，24 h內A組VAS評分下降（P ＜0．05）；BCS評分升高（P ＜0．05）；鎮靜水平未見統計學差異（P ＞0．05）；兩組不良反應未見統計學差異（P ＞0．05）。結論：超聲引導TAP阻滯可滿足下腹部手術患者術後鎮痛需求。
목적：관찰연구초성인도복횡기평면조체대하복부환자술후진통효과。방법：전마하행하복부수술환자300례，수궤분위라고잡인조（A조，n ＝151）화생리염수조（B조，n ＝149）。술후행초성인도쌍측작TAP 조체，분별주사0．375％라고잡인20 mL （A 조）혹등용량생리염수（B 조）。술후관찰 VAS、Ramsay 급BCS평분。기록술후24 h내불량반응적발생정황。결과：량조VAS급Ramsay평분조간비교차이유통계학의의（P ＜0．05）。여B조비교，24 h내A조VAS평분하강（P ＜0．05）；BCS평분승고（P ＜0．05）；진정수평미견통계학차이（P ＞0．05）；량조불량반응미견통계학차이（P ＞0．05）。결론：초성인도TAP조체가만족하복부수술환자술후진통수구。
Objective To investigate the influence and safety of ultrasound-guided transverses abdominis plane block on general analgesia in patients undergoing lower abdominal operation. Methods Three hundred patients scheduled for lower abdominal operation under general anesthesia were randomly divided into 2 groups:ropivacaine group (group A,n = 151) and normal saline group (group B,n = 149). After the operation ultrasound-guided TAP was performed and 0.375% ropivacaine 20 mL was injected in group A while the equal volume of normal saline was used instead in group B. VAS score, Ramsay sedation score, and Bruggrmann comfort scale (BCS) score were recorded at the time points of 2, 4, 6, 8, 12, 24 hours postoperatively. The adverse reactions such as nausea, vomiting, urinary retention, motor and sensory disorders were also recorded. Results No significant difference in the demographic characteristics such as sex , age , height and weight , was observed between the two groups (P > 0.05). VAS score and BCS score were significantly different (P < 0.05) in group A compared with group B. There were no significant differences (P > 0.05) between the two groups in Ramsay score and adverse reactions. Conclusion Ultrasound-guided TAP block can effectively meet the needs of patients with postoperative analgesia and enhance the comfort after the lower abdominal operation.
