| 宿明艳,刘晓杰,张晓坤,彭余楠,周 瑜.超声引导下腹横肌平面阻滞与静脉镇痛在腹股沟疝气手术中的应用价值[J].,2022,(5):863-866 |
| 超声引导下腹横肌平面阻滞与静脉镇痛在腹股沟疝气手术中的应用价值 |
| Application Value of Ultrasound-guided Transversus Abdominis Plane Block and Intravenous Analgesia in Inguinal Hernia Surgery |
| 投稿时间：2021-07-04 修订日期：2021-07-28 |
| DOI：10.13241/j.cnki.pmb.2022.05.013 |
| 中文关键词: 腹横肌平面阻滞 静脉镇痛 腹股沟疝气手术 术后恢复 |
| 英文关键词: Transversus abdominis plane block Intravenous analgesia Inguinal hernia surgery Postoperative recovery |
| 基金项目:国家自然科学基金项目（H0903） |
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| 中文摘要: |
| 摘要 目的：分析超声引导下腹横肌平面阻滞与静脉镇痛在腹股沟疝气手术中的应用价值。方法：选择2019年1月～2020年12月我院的120例腹股沟疝气手术患者为研究对象，按照麻醉镇痛方法的差异分为两组，对照组采用静脉镇痛，观察组采用腹横肌平面阻滞。记录两组患者术中丙泊酚、麻黄碱以及芬太尼的使用剂量以及手术后不同时间的VAS评分和芬太尼追加次数；比较两组术后恶心呕吐的发生率，并比较进食时间、肠道功能恢复时间以及下床活动时间。结果：观察组患者丙泊酚、麻黄碱以及芬太尼的使用剂量均显著少于对照组(P<0.05)；观察组疝气手术后1 h(T0)、5 h(T1)、10 h(T2)、1d (T3)、2 d(T4)的VAS评分均明显低于对照组(P<0.05)；观察组的芬太尼追加次数为4次/人，明显低于对照组的11次(P<0.05)；观察组疝气手术后恶心呕吐的发生率（6.67%）、进食时间、肠道功能恢复时间以及下床活动时间均明显低于对照组(P<0.05)。结论：腹横肌平面阻滞对腹股沟疝气手术后患者的镇痛效果明显优于静脉镇痛，且更有助于促进术后恢复。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the value of transverse abdominal plane block and intravenous analgesia in hernia surgery. Methods: From January 2019 to December 2020, 120 patients undergoing inguinal hernia surgery in our hospital were selected as research subjects. According to the difference of anesthesia methods, they were divided into two groups. The control group was given intravenous analgesia, while the observation group was given transverse abdominal plane block. The intraoperative doses of propofol, ephedrine and fentanyl in the two groups of patients, as well as the VAS score and the number of fentanyl supplements at different times after the operation were recorded; the incidence of postoperative nausea and vomiting between the two groups was compared, and Compare eating time, intestinal function recovery time, and time to get out of bed. Results: The dosages of propofol, ephedrine and fentanyl in the observation group were significantly less than those in the control group (P<0.05). The VAS scores of 1 h (T0), 5 h (T1), 10 h (T2), 1 d (T3), 2 d (T4) in the observation group were significantly lower than those in the control group (P<0.05). The number of additional fentanyl in the observation group was 4 times per person(P<0.05). The incidence of nausea and vomiting (6.67%), eating time, intestinal function recovery time, and time to get out of bed in the observation group after hernia surgery were significantly lower than those in the control group(P<0.05). Conclusion: Transverse abdominis plane block is significantly better than intravenous analgesia for patients with inguinal hernia after surgery, and it is more helpful to promote postoperative recovery. |
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