ESPB与TAPB的腹腔镜阑尾切除术后镇痛对比  

Comparison of analgesia between ESPB and TAPB after laparoscopic appendectomy

作　　者：赵伟[1] 隋石耀 毛立科 Zhao Wei;Sui Shiyao;Mao Like(Huaibei People’s Hospital,Huaibei 235000,Anhui Province,China)

机构地区：[1]淮北市人民医院,安徽淮北235000

出　　处：《现代科学仪器》2023年第5期68-72,共5页Modern Scientific Instruments

摘　　要：目的:对比超声引导下竖脊肌平面阻滞(ESPB)与腹横肌平面阻滞(TAPB)在腹腔镜阑尾切除(LA)术后镇痛的效果。方法:90例LA患者随机分为E组(ESPB复合全麻)、T组(TAPB复合全麻)和P组(全麻)各30例,比较镇痛效果。结果:T组、E组胃肠道恢复、下床的时间短于P组(P<0.05);3组镇静评分组间、时间效应及静息和运动的疼痛评分组间、时间、组间×时间交互效应显著(P<0.05);对比P组,T组、E组丙泊酚和瑞芬太尼用量、PCIA按压次数减少及补救镇痛率、恶心和呕吐发生率降低(P<0.05)。结论:超声引导下ESPB、TAPB均可用于LA后镇痛。Objective:To compare the postoperative analgesic effects between ultrasound-guided erector spinae plane block(ESPB)and transverse abdominis plane block(TAPB)on patients with laparoscopic appendectomy(LA).Methods:90 patients with LA were randomly divided into group E(ESPB combined with general anesthesia),group T(TAPB combined with general anesthesia)and group P(general anesthesia)with 30 cases in each group.The analgesic effects were compared.Results:The gastrointestinal recovery time and ambulation time in group T and group E were shorter than those in group P(P<0.05).There were statistically significant differences in the between-group effect and time-point effect of sedation score and between-group effect,time-point effect and interaction effect of between-group and time-point of pain score at rest and at motion among the three groups(P<0.05).The dosages of propofol and remifentanil,the number of PCIA compressions,remedial analgesia rate and incidence rates of nausea and vomiting were less or lower in group T and group E compared with those in group P(P<0.05).Conclusion:Both ultrasound-guided ESPB and TAPB can be used for analgesia after LA.

关 键 词：超声引导 竖脊肌平面阻滞 腹横肌平面阻滞 腹腔镜阑尾切除术 术后镇痛 

分 类 号：R656.8[医药卫生—外科学]