Effect of ultrasound-guided transverses abdominis plane block on postoperative analgesia in patients undergoing lower abdominal operation
10.3969/j.issn.1006-5725.2015.07.030
- VernacularTitle:超声引导腹横肌平面阻滞用于下腹部手术患者术后镇痛效果的观察
- Author:
Yingshuai QIAO
;
Xihui LU
- Publication Type:Journal Article
- Keywords:
Abdominal muscles;
Nerve block;
Ultrasound-guided
- From:
The Journal of Practical Medicine
2015;(7):1137-1139
- CountryChina
- Language:Chinese
-
Abstract:
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.
