Comparative study of two different analgesia methods for laparoscopic ovarian cystectomy
Objective:To investigate the effects of intravenous general anesthesia combined with epidural block and ultrasound-guided transversus abdominis plane block on postoperative analgesia and early rehabilitation in patients undergoing laparoscopic ovarian cystectomy.Methods:One hun-dred patients undergoing laparoscopic ovarian cystectomy,ASA grade Ⅰ or Ⅱ,were randomly divided into transversus abdominis plane block analgesia group(group A,n=50)and epidural block analgesi-a group(group B,n=50).The operation time of block analgesia,the residence time in the anesthe-sia recovery room,the VAS scores before and 2 h,4 h,8 h,12 h and 24 h after operation,the use of rescue analgesics,the recovery time of diet after operation,the time of first getting out of bed after op-eration,the occurrence of headache,vomiting,nausea and hypotension after operation,and the pa-tient satisfaction were compared between the two groups.Results:The operation time of block analge-sia in group A was shorter than that in group B(P＜0.05).There was no significant difference in res-idence time in anesthesia recovery room between the two groups(P＞0.05).The VAS scores of group B at 2 h,8 h,12 h and 24 h after operation were lower than those of group A(P＜0.05).The usage rate of rescue analgesics in group B was lower than that in group A(P＜0.05).There was no signifi-cant difference in postoperative diet recovery time and the first time to get out of bed after operation be-tween the two groups(P＞0.05).Except for hypotension,there was no significant difference in the incidence of postoperative headache,nausea and vomiting between the two groups(P＞0.05).The patient satisfaction of group B was higher than that of group A(P＜0.05).Conclusion:For patients undergoing laparoscopic ovarian cystectomy under general anesthesia,the analgesic effect and analgesic time of combined epidural block are better than those of combined transversus abdominis plane block;however,both have little effect on early postoperative rehabilitation.
万方数据
维普
