全身麻醉药物联合腹横肌平面阻滞在加速康复外科中的应用  

Applications of general anesthesia combined with transverse abdominal muscle planar block in accelerated rehabilitation surgery

作　　者：曹存礼[1] 黄波[1] 黄守印[1] CAO Cunli;HUANG Bo;HUANG Shouyin(Department of Anesthesiology,Puyang People’s Hospital,He’nan Puyang 457001,China)

机构地区：[1]河南省濮阳市人民医院麻醉科,河南濮阳457001

出　　处：《上海医药》2018年第15期45-46,61,共3页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的 :探讨全身麻醉联合腹横肌平面阻滞在加速康复外科中的应用。方法 :将64例在加速康复外科实施腹部手术的患者根据随机数字表法分组,对照组实施全身麻醉+术后静脉自控镇痛,观察组实施全身麻醉联合腹横肌平面阻滞。对两组患者术后48 h内不同时间下的机体疼痛评分和术后镇痛优良率、术后下床时间、恢复胃肠道功能时间、首次补救性镇痛时间、患者满意度进行比较。结果 :各项指标比较,观察组明显优于对照组(P<0.05)。结论 :全身麻醉联合腹横肌平面阻滞在加速康复外科中的应用效果确切,可有效减轻术后疼痛水平,加速术后胃肠道功能恢复,促进患者早期下床活动,提高患者满意度。Objective： To explore the application of general anesthesia combined with transverse abdominal muscle planar block in accelerated rehabilitation surgery. Methods： Sixty-four cases of patients undergoing abdominal surgery were divided into a control group（undergoing general anesthesia plus postoperative intravenous self-control analgesia） and an observation group（undergoing general anesthesia combined with transverse abdominal muscle planar block）based on random number table method. Body pain score and excellent rate of postoperative analgesia, time for leaving bed, recovery of gastrointestinal function and first remedial analgesia, and patient satisfaction within postoperative 48 h were compared between the two groups. Results： Comparison of various indicators mentioned above showed that the observation group was much better than the control group（P〈0.05）. Conclusion： The application of general anesthesia combined with transverse abdominal muscle planar block in accelerated rehabilitation surgery possesses an exact effect, which can effectively reduce postoperative pain levels, accelerate the recovery of gastrointestinal function, promote patients early ambulation and improve patient satisfaction.

关 键 词：全身麻醉 腹横肌平面阻滞 加速康复外科 

分 类 号：R614.27[医药卫生—麻醉学] R656[医药卫生—外科学]