Effect of Ultrasound-guided transversus abdominis plane block on cyclic stress and postoperative analgesia in patients after abdominal surgery
10.3969/j.issn.1006-5725.2017.02.025
- VernacularTitle:超声引导腹横肌平面阻滞对结肠癌开腹手术患者循环应激及术后镇痛的影响
- Author:
Shenglong DONG
;
Shaofei ZHU
;
Saijuan LIN
;
Ka WANG
- Keywords:
Ultrasound-guided transversus abdominis plane block;
Nerve block;
Analgesia;
Surgery
- From:
The Journal of Practical Medicine
2017;33(2):259-262
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of ultrasound?guided transversus abdominis plane block after general anesthesia induction on cyclic stress and postoperative analgesia in patients treated with abdominal surgery. Methods Sixty patients scheduled for elective abdominal surgery were divided into 2 groups with 30 cases in each. All were treated with ultrasound?guided transversus abdominis plane block after general anesthesia induction, and 30 cases in observation group received ropivacaine ,while those in control group saline. Anesthesia maintained by propofol combined with remifentanil during surgery ,and postoperative analgesia by sufentanil. The effect of anesthesia and operation were compared. Results Compared with control group,observation group needed less time for analepsia (P < 0.05) ,and there were lower blood pressure and heart rate at 2 min after skin incision and immediately after surgery (P < 0.05). Less propofol and remifentanil were needed in surgery and less sufentanil after surgery in observation group (P < 0.05). The VAS pain score was lower 1 h,4 h,8 h and 12 h after surgery (P < 0.05) ,and there were less times for pressing analgesic pump (P < 0.05). Patients in observation group had higher comfort degree after surgery (P<0.05). Conclusion Ultrasound?guided transversus abdominis plane block after general anesthesia induction is helpful to reduce intraoperative anesthesia used for anesthesia maintenance , and can improve patients′comfort after surgery.
