摘要
目的探究腹横肌平面阻滞对腹腔镜结直肠癌根治术后患者舒芬太尼用量、镇痛质量及康复指标的影响。方法选取2019年1—12月聊城市人民医院收治的72例腹腔镜结直肠癌手术患者作为研究对象,随机分为观察组(n=37)和对照组(n=35)。观察组给予超声引导下行双侧腹横肌平面阻滞(TAPB)联合自控静脉镇痛(PCIA),对照组给予传统PCIA镇痛,比较两组术后2、4、12、24、48 h数字分级评分法(NRS)评分、术后24 h内镇痛泵按压次数、镇痛补救率、舒芬太尼用量、不良反应发生情况、排气时间、下床活动时间、住院时间和患者镇痛满意度。结果术后2、4、12、24 h,观察组静息痛和活动痛NRS评分均低于对照组,差异有统计学意义(P<0.05)。观察组术后24 h内镇痛泵按压次数和舒芬太尼用量均少于对照组,镇痛补救率低于对照组,差异有统计学意义(P<0.05)。观察组恶心发生率5.4%,低于对照组的14.3%,差异有统计学意义(P<0.05);观察组呕吐发生率为2.7%,略低于对照组的11.4%,但差异无统计学意义。观察组排气时间、下床活动时间和住院时间均短于对照组,差异有统计学意义(P<0.05)。观察组镇痛满意度高于对照组,差异有统计学意义(P<0.05)。结论腹腔镜结直肠癌手术患者行超声引导下行双侧TAPB联合PCIA镇痛效果显著,可减少24 h内舒芬太尼用量和不良反应发生率,提高患者满意度,促进患者术后康复。
Objective To investigate the effect of transverse abdominis muscle block on the analgesia quality,dosage of sufentani and rehabilitation indicator in patients with laparoscopic colorectal cancer radical operation.Methods 72 patients with laparoscopic colorectal cancer treated in Liaocheng people's Hospital from January to December 2019 were selected as the research subjects,and they were randomly divided into observation group(n=37)and control group(n=35).The observation group was given ultrasound-guided bilateral transversus abdominis plane block(TAPB)combined with patient-controlled intravenous analgesia(PCIA),and the control group was given traditional PCIA analgesia,the numerical rating scale(NRS)scores at 2,4,12,24 and 48 h after operation,the pressing times of analgesic pump within 24 h after operation,the analgesic recovery rate,the dosage of sufentanil,adverse reactions,the analgesic recovery rate,exhaust time,out of bed activity time,hospitalization time and patients'analgesic satisfaction were compared between the two groups.Results At 2,4,12 and 24 h after operation,the NRS scores of resting pain and active pain in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).The pressing times of analgesic pump and sufentanil dosage in the observation group within 24 h after operation were less than that in the control group,and the analgesic recovery rate was lower than those in the control group,and the difference was statistically significant(P<0.05).The incidence of nausea in the observation group was 5.4%,which was lower than 14.3%in the control group,and the difference was statistically significant(P<0.05).The incidence of vomiting in the observation group was 2.7%,slightly lower than 11.4%in the control group,but the difference was not statistically significant.The exhaust time,out of bed activity time and hospitalization time in the observation group were shorter than those in the control group,the difference was statistically significant
作者
米海燕
刘冬华
MI Haiyan;LIU Donghua(Disinfection Supply Center,Liaocheng People's Hospital,Liaocheng,Shandong,252000,China;Department of Anesthesiology,Liaocheng People's Hospital,Liaocheng,Shandong,252000,China)
出处
《当代医学》
2022年第17期5-8,共4页
Contemporary Medicine
关键词
腹横肌平面阻滞
结直肠癌根治术
自控静脉镇痛
舒芬太尼
Transversus abdominis plane block
Colorectal cancer radical operation
Patient-controlled intravenous analgesia
Sulfentanil
