超声引导两种入路腹横肌平面阻滞用于腹腔镜胆囊切除术患者镇痛效果的评价  

Efficacy of Ultrasound-guided Transversus Abdomiuis Plane Block of the Anterior Subcostal Approach and the Posterior Approach in the Patients Undergoing Laparoscopic Cholecystectomy

作　　者：李小静[1] 宋后恩 朱雅斌[1] 孙灿林[1] LI Xiao-jing;SONG Hou-en;ZHU Ya-bin;SUN Can-lin(Taizhou People's Hospital,Taizhou Jiangsu 225300,China)

机构地区：[1]泰州市人民医院麻醉科,江苏泰州225300

出　　处：《泰州职业技术学院学报》2018年第6期49-51,共3页Journal of Taizhou Polytechnic College

摘　　要：目的评价超声引导下肋下缘法与后路法腹横肌平面(TAP)阻滞用于腹腔镜胆囊切除术患者镇痛的效果。方法本院择期行腹腔镜下胆囊切除术患者90例,随机分为对照组(Ⅰ组)、肋下缘法TAP2、6、12、24、36h和48 h时3组患者静息状态下的VAS评分。结果与Ⅰ组患者相比,Ⅱ组、Ⅲ组患者术评分明显降低(P<0.05);与Ⅲ组患者相比,Ⅱ组患者12时评分降低有统计学差异(P<0.05)。结论 TAP法可能效果更优。Objective To evaluate the analgesic effect of transversus abdominis plane(TAP)block guided by ultrasound in patients undergoing laparoscopic cholecystectomy.Methods 90 patients undergoing laparoscopic cholecystectomy were randomly divided into three groups:control group(group I),subcostal TAP block group(group II),posterior TAP block group(group III).TAP block was not performed in group I.TAP block was performed under ultrasound guidance before anesthesia induction in group II and group III.VAS scores were recorded at 2,6,12,24,36 and 48 hours after operation.Results Compared with group I,the VAS scores of group II and group III were significantly lower at 2,6,12 and 24 hours after operation(P﹤0.05);compared with group I,the VAS scores of group III at 36 hours were still significantly lower(P﹤0.05);compared with group III,the VAS scores of group II at 12 hours were significantly lower(P﹤0.05).Conclusion TAP block can relieve pain after LC,and subcostal method is more effective.

关 键 词：超声 腹横肌平面阻滞 胆囊切除术 术后镇痛 

分 类 号：R614[医药卫生—麻醉学]