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超声引导腹横肌平面阻滞对腹腔镜胆囊切除患者术后恢复的影响
林玮,钱彬,林芩
0
(福建中医药大学附属人民医院麻醉科)
摘要:
【摘要】 目的 评估超声引导肋缘下腹横肌平面阻滞对腹腔镜胆囊切除患者术后恢复质量的影响。方法 纳入全身麻醉下行腹腔镜胆囊切除患者62例,年龄18~60岁,美国麻醉医师协会分级为Ⅰ~Ⅱ级,随机均分为腹横肌平面阻滞组和对照组各31例。全身麻醉后行超声引导下双侧肋缘下腹横肌平面阻滞,腹横肌平面阻滞组共注射05%罗哌卡因30 ml,对照组共注射生理盐水30 ml。观察患者术后24小时恢复质量、恶心呕吐等不良反应发生率以及患者满意度评分。结果 与对照组比较,腹横肌平面阻滞组患者术后恢复质量较好,术后恶心、呕吐发生率降低,患者满意度提高。结论 超声引导肋缘下腹横肌平面阻滞可以促进全身麻醉下腹腔镜胆囊切除患者术后恢复。
关键词:  超声引导  腹横肌平面阻滞  术后恢复质量  全身麻醉  腹腔镜胆囊切除术
DOI:
基金项目:福建省中青年教师教育科研项目(JA14157)
Effects of ultrasound guided transversus abdominis plane block on postoperative recovery quality after laparoscopic cholecystectomy
LIN Wei,QIAN Bin,LIN Qin
(Department of Anesthesiology, The People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine)
Abstract:
【Abstract】 Objective To evaluate the effects of ultrasoundguided transversus abdominis plane block (TAP) on the postoperative quality of recovery after laparoscopic cholecystectomy undergoing general anesthesia. Methods Sixtytwo American Society of Anesthesiologists physical status (ASA) I or II patients undergoing laparoscopic cholecystectomy were randomly allocated to TAP group or control group. The TAP group received 30 ml of 05% ropivacaine, whereas the control group received 30 ml of normal saline. The outcomes included the quality of recovery, which was assessed on the day before surgery and 24h after surgery using the Quality of Recovery 40 questionnaire (QoR40), the incidence of postoperative nausea and vomiting (PONV) and patient’s satisfaction. Results Global QoR40 score in TAP group at 24 h after surgery was higher than that in control group. Compared with the control group, ultrasoundguided TAP reduced the incidence of PONV and improved the patient’s satisfaction scores. Conclusion Ultrasoundguided TAP can enhance the quality of recovery and patient’s satisfaction after general anesthesia for laparoscopic cholecystectomy.
Key words:  Ultrasound guided  Transversus abdominis plane block  Quality of recovery  General anesthesia  Laparoscopic cholecystectomy

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