腹横肌平面阻滞在腹式全子宫切除术中的应用经验

目的探讨腹横肌平面阻滞(TAP)技术在腹式全子宫切除术中的应用。方法选择择期行开腹全子宫切除术患者50例,分为两组(n=25),腹横肌平面阻滞组(TAP组)和对照组。TAP组患者在全麻插管后实施B超引导下双侧腹横肌平面阻滞,对照组患者不行阻滞,两组患者术后均采用相同静脉自控镇痛方案。比较两组患者术后各项监测指标的差异。结果 TAP组患者术毕清醒时间,术后VAS疼痛评分、排气时间、早期下床时间、出院时间均较对照组显著降低。结论腹横肌平面阻滞(TAP)技术在开腹全子宫切除术中能使患者早期苏醒,减少术后疼痛,提早下床活动及减少住院时间等作用,有益于患者术后快速康复。

The application of transversus abdominis plane block in total abdominal hysterectomy surgery

［Abstract］ Objective To investigate the application of the transversus abdominis planeblock（TAPb） in surgery of total abdominal hysterectomy. Methods Fifty patients were divided into two groups （n=25）：the transverse abdominal planar block （TAPb group） and the control group. After intubation，B-ultrasonically guided bilateral transverse abdominal plane block were performed，while TAPb was not done in control group. Both groups received patient?controlled intravenous analgesia after operation. The differences in monitoring indicators were compared between the two groups. Results The awake time，postoperative VAS score，the exhaust time，the first time of getting up and the time of hospitalization of the patients in the TAP group were significantly lower than those in the control group. Conclusion Transversus abdominis plane block （TAPb） in the open hysterectomy can provide fast anesthesia recovery in patients with，and less postoperative pain，early ambulation and reduce the time of hospital stay.