摘要
目的:分析腹腔镜下腹股沟疝腹膜前修补术(TAPP)中采用超声引导下腹横肌平面阻滞(TAP)的麻醉镇痛效果。方法:选取2018年8月-2019年12月行TAPP治疗的腹股沟疝患者78例,随机分为两组。对照组采用常规麻醉;试验组采用超声引导下TAP麻醉。比较两组临床效果。结果:试验组术后不同时间点疼痛评分均低于对照组,差异有统计学意义(P<0.05)。试验组恢复自主呼吸时间、苏醒时间、拔管时间、芬太尼使用剂量及不良反应发生率均低于对照组,差异有统计学意义(P<0.05)。结论:针对行TAPP治疗的腹股沟疝患者采用TAP麻醉,镇痛效果明显,且患者不良反应少,安全性高。
Objective:To analyze the effect of ultrasound-guided transverse abdominal muscle plane block(TAP)on anaesthesia and analgesia of laparoscopic anterior peritoneal repair of inguinal hernia(TAPP).Methods:From August 2018 to December 2019,78 cases of patients with inguinal hernia who were treated with laparoscopic anterior peritoneal repair of inguinal hernia were enrolled,they were randomly divided into two groups.The control group received conventional anesthesia.While the experimental group received anesthesia of ultrasound-guided transverse abdominal muscle plane block(TAP).The clinical effects between the two groups was compared.Results:The pain scores of the experimental group were lower than those of the control group at different time points after operation,the differences were statistically significant(P<0.05).The recovery time of spontaneous respiration,wake-up time,extubation time,dosage of fentanyl and the incidence of adverse reactions of the experimental group were all lower than those of control group,the differences were statistically significant(P<0.05).Conclusion:The anesthesia of ultrasound-guided transverse abdominal muscle plane block(TAP)is applied to patients with inguinal hernia who were treated with laparoscopic anterior peritoneal repair of inguinal hernia(TAPP).The analgesic effect is obvious and the patients have fewer adverse reactions with high safety.
作者
莫品军
潘正举
谭健
蒙兴虹
刘璐
周洪春
Mo Pinjun;Pan Zhengju;Tan Jian;Meng Xinghong;Liu Lu;Zhou Hongchun(The Third Affiliated Hospital of Guizhou Medical University,Guizhou Duyun 558000)
出处
《中国社区医师》
2020年第25期27-28,共2页
Chinese Community Doctors
关键词
腹股沟疝
腹腔镜下腹膜前疝修补术
腹横肌平面阻滞
镇痛效果
Inguinal hernia
Laparoscopic anterior peritoneal repair of inguinal hernia
Transverse abdominal muscle plane block
Analgesic effect
