Observe the effect of ultrasound-guided transverses abdominis plane block on median effective dose of sufentanil in pediatric postoperative analgesia
10.3969/j.issn.1006-5725.2018.09.031
- VernacularTitle:超声引导下腹横肌平面阻滞对小儿舒芬太尼静脉镇痛半数有效剂量的影响
- Author:
Qianqian JIA
1
;
Lina BAO
Author Information
1. 秦皇岛市第一医院 河北秦皇岛 066000
- Keywords:
ultrasound-guided;
transversus abdominis plane block;
sufentanil;
pediatric postoperative analgesia;
median effective dose
- From:
The Journal of Practical Medicine
2018;34(9):1533-1536
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of ultrasound-guided transversus abdominis plane blockon median effective dose of sufentanil in pediatric postoperative analgesia. Methods Forty-fivepediatric patients under-going elective hernia repairsurgery were randomly divided into two groups:group Rop and group Sal. Ultrasound-guided transversus abdominis plane blocks were performed on both groups after general anesthesia induction before the start of surgery. Group Rop received 0.3 mL/kg of 0.25%ropivacaine,and group Sal received 0.3 mL/kg of 0.9%saline. Patient controlled intravenous analgesia pump within sufentanil was used in both groups after operation. Used the sequential method to determine the median effective dose of sufentanil ,recorded the times of the pressing self-control analgesia within 6h after operation,the use of sufentanil,postoperative pediatric pain(FLACC)score and adverse reactions. Results 1. The median effective dose of sufentanil in group Rop was lower than group Sal (0.0259 μg/(kg · h)vs 0.0379 μg/(kg · h)). 2.The times of the pressing self-control analgesia within 6 h after operation and the use of sufentanil in group Rop were less than in group Sal. 3.The postoperative FLACC score at different points in group Rop was lower than in group Sal(P < 0.05). 4.There were no significant difference(P >0.05)in incidence of adverse reactions in both groups. Conclusion The ultrasound-guided transversus abdominis plane block in pediatric lower abdominal surgery can effectively reduce the median effective dose of sufentanil.
