超声引导下腹横肌平面阻滞用于肝脏术后镇痛的效果评定

摘要/Abstract

摘要： 目的超声引导下腹横肌平面阻滞用于肝脏术后镇痛效果评定。方法选取2021年1月~2021年12月牡丹江医学院附属第二医院肝脏手术患者46例,并针对患者实施随机数表法分组,分为两组,各23例,研究组利用超声引导下腹横肌平面阻滞、参考组实施注射0.9%氯化钠注射液,对患者的术后VAS评分、Ramsay镇静评分、心率、平均动脉压、术中全麻药用量实施对比。结果 T0时期,两组心率比较差异无统计学意义（P>0.05）;T1、T2、T3 时期,研究组心率明显低于参考组,差异有统计学意义（P<0.05）;T0时期,研究组与参考组平均动脉压比较,差异无统计学意义（P>0.05）; T1、T2、T3时期,研究组平均动脉压明显低于参考组,舒芬太尼、丙泊酚、瑞芬太尼用量明显少于参考组,差异均有统计学意义（ P<0.05）;T0 时期,研究组与参考组Ramsay 镇静评分相比,差异无统计学意义（ P>0.05）; T1、T2、T3 时期,研究组Ramsay 镇静评分均高于参考组,差异有统计学意义（P<0.05）。结论肝脏手术患者采取腹横肌平面阻滞可促进患者镇静效果提升,稳定患者术后心率、平均动脉压,减少麻醉药物用量。

关键词: 超声引导, 腹横肌平面阻滞, 术后镇痛

Abstract: Objective To evaluate the effects of ultrasound-guided transverse abdominal muscle plane block on postoperative analgesia of liver. Methods 46 patients under liver surgery in The Second Affiliated Hospital of Mudanjiang Medical College from January 2021 to December 2021 were selected and divided into control group and research group by random number table method. Each group contained 23 patients. The research group was treated with ultrasound-guided transverse abdominal muscle plane block while the control group was injected with 0.9% sodium chloride injection. The postoperative VAS score, Ramsay score, heart rate, mean arterial pressure and the dosage of general anesthesia for the patients were compared. Results At the T0 stage, heart rates in both groups has no statistically significantly difference (P>0.05); At T1, T2, and T3 stages, the heart rate of the study group was significantly lower than that of the control group, and the difference was statistically significant (P<0.05); At the stage of T0, there was no statistically significantly difference in mean arterial pressure for the two groups, but at the stages of T1, T2 and T3, (P<0.05). And the dosages of sufentanil, propofol and remifentanil for the patients in research group were lower than control group (P<0.05). At the stage of T0, there was no statistically significant difference in Ramsay score among the two groups (P>0.05), whereas at the stages of T1, T2 and T3, research group afforded a higher Ramsay score than control group, the difference was statistically significant (P<0.05). In addition, though there was no statistically significant difference in VAS score between the two groups at T0 stage (P>0.05), at the stages of T1, T2 and T3 the VAS score of research group was statistically significantly difference with control group (P<0.05). Conclusion sTransverse abdominal muscle plane block applied to patients with liver surgery could promote the sedation effect, stabilize the postoperative heart rate and amean arterial pressure, and reduce the dosage of anaesthetic agents.

Key words: ultrasound guidance, transversus abdominis plane block, postoperative analgesia

中图分类号:

周佳, 张庆雨, 张欣. 超声引导下腹横肌平面阻滞用于肝脏术后镇痛的效果评定[J]. 中华养生保健, 2022, 40(9): 7-10.

ZHOU Jia, ZHANG Qing-yu, ZHANG Xin. Evaluation of Ultrasound-guided Transverse Abdominal Muscle Plane Block for Postoperative Analgesia of Liver[J]. ZHONGHUA YANGSHENG BAOJIAN, 2022, 40(9): 7-10.

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