腹横筋膜阻滞对38例腹腔镜结直肠癌根治术患者VAS及术后恢复影响  

The Effects of Transversal-fascial Block on VAS and Postoperative Recovery in 38 Patients Undergoing Laparoscopic Radical Resection of Colorectal Cancer

作　　者：康焕菊[1] 曹苏[1] 陆翠娥 KANG Huan-ju;CAO Su;LU Cui-e(Department of Anesthesiology,Affiliated Hospital of Nantong University,Nantong,Jiangsu Province,226000 China)

机构地区：[1]南通大学附属医院麻醉科,江苏南通226000

出　　处：《中外医疗》2020年第3期52-54,共3页China & Foreign Medical Treatment

摘　　要：目的探究腹横筋膜阻滞对腹腔镜结直肠癌根治术患者镇痛效果。方法方便选取从2017年1月-2018年6月在该院就诊的71例腹腔镜结直肠癌根治术患者根据镇痛方法的不同分为两组;对照组采用自控镇痛静脉泵镇痛,观察组采用腹横筋膜阻滞法镇痛,对比分析两组患者镇痛效果。结果观察组患者在术后2 h、6 h、24 h静息时VAS评分分别为(3.1±1.7)分、(2.5±1.6)分、(1.7±0.9)分,均显著低于对照组,差异有统计学意义(t=2.654、2.182、1.982, P<0.05);观察组患者在术后2 h、6 h、24 h咳嗽时VAS评分分别为(4.7±2.3)分、(4.1±1.2)分、(3.5±1.5)分,均显著低于对照组,差异有统计学意义(t=3.041、2.824、1.818,P<0.05);观察组患者肠道功能恢复时间(30.5±12.5)h、下床活动时间(33.6±12.7)h以及进食时间(43.1±11.5)h,均显著短于对照组,差异有统计学意义(t=3.028、2.973、3.234,P<0.05);观察组(15.79%)并发症发生率显著低于对照组(33.33%),差异有统计学意义(χ~2=4.847,P<0.05)。结论腹横筋膜阻滞法对腹腔镜结直肠癌根治术患者表现出较好的镇痛效果,安全性好,预后效果好。Objective To investigate the analgesic effect of transverse abdominal fascia block on laparoscopic radical resection of colorectal cancer. Methods From January 2017 to June 2018, 71 patients convenient selection with laparoscopic radical resection of colorectal cancer treated in our hospital were divided into two groups according to different analgesic methods. The control group was analgesic by pcip and the observation group was analgesic by transverse abdominal fascia block. The analgesic effects of the two groups were compared and analyzed. Results The VAS scores of patients in the observation group were(3.1±1.7)points,(2.5±1.6)points and(1.7±0.9)points at 2 h, 6 h and 24 h after surgery, respectively,which were significantly lower than those in the control group,the difference was statistically significant(t =2.654,2.182,1.982, P<0.05). The VAS scores of patients in the observation group were(4.7±2.3)points,(4.1±1.2)points and(3.5 ±1.5)points at 2 h, 6 h and 24 h after surgery, respectively, which were significantly lower than those in the control group,the difference was statistically significant(t =3.041,2.824,1.818, P <0.05). The recovery time of intestinal function(30.5±12.5) h, time of getting out of bed(33.6±12.7) h and time of eating(43.1±11.5) h in the observation group were significantly shorter than those in the control group,the difference was statistically significant(t=3.028,2.973,3.234, <0.05). The incidence of complications in the observation group(15.79%) was significantly lower than that in the control group(33.33%),the difference was statistically significant(χ~2=4.847, P <0.05). Conclusion Transversalis fascia block has good analgesic effect, safety and prognosis in laparoscopic radical resection of colorectal cancer.

关 键 词：腹腔镜结直肠癌根治术 腹横筋膜阻滞 VAS 并发症 

分 类 号：R614[医药卫生—麻醉学]