摘要
目的:探讨腹横肌平面(transversus abdominis plane,TAP)阻滞联合患者自控静脉镇痛(patient-controlled intravenous analgesia,PCIA)与患者自控硬膜外镇痛(patient-controlled epidural analgesia,PCEA)对腹腔镜辅助直肠前切除术围手术期加速康复的影响。方法:选取60例腹腔镜辅助直肠前切除术患者进行研究,将患者随机分为:TAP联合PCIA组与PCEA组,记录两组患者麻醉手术及麻醉复苏情况,术后6、24、48 h两组患者静息和咳嗽时疼痛VAS评分,术后首次排气时间。结果:两组患者的手术时间、术中出血量、补液量比较差异无统计学意义(P>0.05);术后6、24、48小时静息和咳嗽时疼痛VAS评分比较,差异无统计学意义(P>0.05);两组首次排气时间比较无统计学意义(P>0.05)。结论:TAP联合PCIA与PCEA均能有效地减轻腹腔镜辅助直肠前切除术后疼痛,镇痛效果相似,肛门首次排气时间相似。
Objective:To investigate the effect of combined transversus abdominis plan(TAP)block with patient-controlled intravenous analgesia(PCIA and patient-controlled epidural analgesia(PCEA)on the perioperative rehabilitation of laparoscopic-assisted anterior rectal resection.Method:A total of 60 patients underwent laparoscopic-assisted anterior rectal resection were randomly divided into TAP combined with PCIA group and PCEA group.The surgery and anesthesia recovery related situation,the pain-added service scores at rest and cough at 6,24 and 48 hours after surgery postoperative,and the first postoperative exhaust time were recorded in the two groups.Result:There were no significant differences in the operative time,intraoperative blood loss,and intraoperative fluid replenishment between the two groups(P>0.05).There were also no significant difference in the scores of pain value-added services at 6,24 and 48 hours(P>0.05).The first exhaust time after surgery of two groups had no significant difference(P>0.05).Conclusion:TAP combined with PCIA and PCEA can effectively alleviate the pain after laparoscopic assisted anterior rectal resection.The analgesic effect is similar,and the first exhaust time of anus is similar.
作者
张振
池元龙
李学山
陈申平
ZHANG Zhen;CHI Yuanlong;LI Xueshan(Sanming First Hospital Affiliated to Fujian Medical University,Sanming 365000,China)
出处
《中外医学研究》
2019年第22期124-126,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
腹腔镜辅助直肠前切除术
腹横肌平面阻滞
患者自控静脉镇痛
患者自控硬膜外镇痛
Laparoscopic assisted rectal anterior resection
Transversus abdominis plan block
Patient-controlled intravenous analgesia
Patient-controlled epidural analgesia
