Comparison of ultrasound-guided quadratus lumborum block and transversus abdominis plane block com-bined with patient controlled intravenous analgesia with sufentanil on post-operation analgesia after ap-pendectomy
- VernacularTitle:超声引导下腰方肌阻滞或腹横肌平面阻滞联合舒芬太尼PCIA在阑尾切除术后镇痛中的比较
- Author:
Bin HAN
1
;
Wutao WANG
;
Aiping HE
Author Information
1. 710077,西安医学院第一附属医院麻醉科
- Keywords:
Quadratus lumborum block;
Transversus abdominis plane block;
Appendecto-my;
Postoperative analgesia
- From:
The Journal of Clinical Anesthesiology
2017;33(10):984-986
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the difference of quadratus lumborum block (QLB)and transversus abdominis plane (TAP)block combined with patient controlled intravenous analgesia with sufentanil in analgesia after appendectomy.Methods Seventy-seven patients undergoing appendecto-my,including 44 patients males and 33 patients females,all falling into ASA Ⅰ or Ⅱ,were random-ized into group QLB (n =39)and group TAP block (n =38).Ultrasound-guided QLB and TAP block was performed at the end of operation and 0.25% ropivacaine hydrochloride 20 ml was used.Postop-erative VAS score and the consumption of sufentanil at 4,8,12,24 and 48 h was recorded.Postoper-ative nausea and vomiting,dizziness,skin itching were recorded.Results Patients in group QLB used significantly less sufentanil than that of group TAP (P <0.05 )at 12,24,48 h and VAS score has no differences after operation.Side effects like postoperative nausea and vomiting [2(5.1%)vs 8(21.0%)], and dizziness [4(10.2%)vs 11(28.9%)]were significantly less (P <0.05).Conclusion QLB can more effectively reduce postoperative sufentanil consumption and side effect than TAP block.
