腹横肌平面阻滞复合舒芬太尼静脉多模式镇痛用于子宫切除术病人的.docVIP

超声引导腹横肌平面阻滞用于全麻剖宫产术 术后镇痛的效果研究 刘林( 徐文平 肖飞 张引法 【摘要目的腹横肌平面（transversus abdominis plane，AP）阻滞术术后镇痛效果。方法 择期拟在下行子宫术例，ASA分级或级，分为2组（n=0）：罗哌卡因组（组）和生理盐水组（组）。后超声引导双侧TAP阻滞，分别注射0．375％罗哌卡因0ml（组）或等容量（组）。。比较两组术后2、12、24h视觉模拟疼痛（VAS）评分,镇痛泵按压次数满意度。 结果的VAS评分（P05）（P0.05）镇痛泵按压次数减少（P0.01）,镇痛满意度（P0.05）（P0.01）。两组均未见结论的需要量Efficacy of Ultrasound-guided transversus abdominis plane block for postoperative analgesia in cesarean delivery under general anesthesia LIU Lin, XU Wen-ping, XIAO Fei, ZHANG Yin-fa, Department of Anesthesiology,Jiaxing Maternity and Child Health Care Hospital,Jiaxing 314051,China 【Abstract】 Objective To observe the efficacy of Ultrasound-guided transversus abdominis plane(TAP) block for postanalgesia in elective cesarean delivery under general anesthesia. Medthods Forty ASAⅠ-Ⅱ patients scheduled for elective caesarean delivery under general anesthesia were randomly divided into 2 groups(n=20 each) by a random number table： group(groupⅠ) and same volume saline group(groupⅡ).The ultrasound-guided bilateral TAP block was performed at the end of surgety,and 0.375% ropivacaine 20 ml was injected each side in group Ⅰ ,while the equal voume of normal saline was given in groupⅡ .The patients received PCIA. We studied the pain on a visual analogue scale（VAS）scores at 2、6、12、 24 and 48h, the time to require the first bolus, and the numbers of bolus in 24h.The satisfaction on analgesia and total consumption of PCIA within 24h after operation were also recored.The adverse reactions were also recored. Results Compared with groupⅡ,VAS scores were significantly decreased at 2,6,12 and 24 h after operation in groupⅠ(P0.05). Compared with groupⅡ, the time to require the first bolus was significantly longer, compression numbers were less , the satisfaction on analgesia were better in groupⅠ(P0.05),and the consumption of PCIA within 24 h were significantly lower(P0.01). TAP block-related complications were not found in both groups. Conclusion The efficacy of Ultrasound-guided TAP block