Application of ultrasound-guided TAP combined with esketamine intravenous controlled analgesia in postoperative patients with colorectal cancer
10.3760/cma.j.cn115807-20241119-00360
- VernacularTitle:超声引导下TAP联合艾司氯胺酮静脉自控镇痛在结直肠癌术后患者中的应用
- Author:
Yufeng MA
1
;
Benfa CHEN
1
;
Fengli LI
1
;
Guangmeng ZHANG
1
;
Yanming QIU
1
Author Information
1. 临沂市中心医院麻醉科，临沂 276400
- Publication Type:Journal Article
- Keywords:
Colorectal cancer;
Radical operation;
Plane block of transverse abdominal muscle;
Ultrasonic guidance;
Intravenous controlled analgesia
- From:
Chinese Journal of Endocrine Surgery
2025;19(3):413-417
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of ultrasound-guided lower transverse abdominal muscle plane (TAP) block combined with esketamine intravenous controlled analgesia on postoperative patients with colorectal cancer (CRC) .Methods:A total of 120 CRC patients admitted to Linyi Central Hospital from Aug. 2022 to Aug. 2024 were selected and divided into control group and observation group according to random number table method, with 60 cases in each group. The control group received esketamine intravenous controlled analgesia, and the observation group was combined with TAP under ultrasound guidance on the basis of the control group. The postoperative recovery, pain numerical score (NRS), heart rate and mean arterial pressure of 1h, 8h and 48h were compared between the two groups. The levels of serum interleukin-6 (IL-6), interleukin-10 (IL-10), interleukin-1 β (IL-1 β) and adverse reactions were compared before anesthesia (T0), 24h (T1) and 48h (T2) after surgery. Results:The feeding time and the first exhaust time in the observation group were shorter than those in the control group ( P<0.05). The NRS scores of the observation group were lower than those of the control group at 1h, 8h and 48h after operation ( P<0.05). The heart rate and mean arterial pressure of both groups increased at 8h and 48h after surgery, and the observation group was lower than the control group ( P<0.05). Serum IL-6, IL-10 and IL-1 β in both groups were higher than those in T0 at T1 and T2, and IL-6 and IL-1 β in observation group were lower than those in control group, and IL-10 was higher than those in control group ( P<0.05). The incidence of adverse reactions in observation group was lower than that in control group ( P<0.05) . Conclusion:Ultrasound-guided TAP combined with esketamine intravenous controlled analgesia can effectively accelerate the postoperative recovery of CRC patients, reduce the level of pain, and alleviate the inflammatory response of the body, with high safety.
