Effects of Transversus Abdominis Nerve Block on Anesthesia Recovery Time and Postoperative Pain in Patients Undergoing Laparoscopic Appendectomy
Objective To analyze the effect of transversus abdominis nerve block on patients undergoing laparoscopic appendectomy(LA).Methods A total of 84 LA patients admitted to Linyi Central Hospital from July 2022 to July 2023 were selected as the research object,and divided into a control group and an observation group according to the random number table method,with 42 cases in each group.The control group was treated with general anesthesia,and the observation group was treated with transversus abdominis nerve block on the basis of the control group.The hemodynamics,recovery quality,postoperative pain and adverse reactions were compared between the two groups.Results At 15 min after anesthesia and the end of operation,the heart rates of the observation group were(77.20±4.39)times/min and(79.14±4.53)times/min,respectively,which were higher than(69.30±3.71)times/min and(75.41±4.05)times/min of the control group,the mean arterial pressure of the two groups were(95.27±6.45)mmHg and(96.48±7.29)mmHg,respectively,which were higher than(87.26±4.75)mmHg and(92.41±6.04)mmHg of the control group,the differences between the two groups were statistically significant(P<0.05).In the observation group,the spontaneous breathing time was(9.72±1.59)min,the eye opening time was(11.25±1.76)min,the extubation time was(15.20±2.53)min,and the complete recovery time was(18.61±2.84)min,which were shorter than(11.35±2.41)min,(13.46±2.35)min,(17.63±3.29)min,(24.54±3.44)min the control group,and the differences between the two groups were statistically significant(P<0.05);the dosage of propofol and sufentanil in the observation group were(547.58±30.21)mg and(72.35±8.21)μg,respectively,which were less than(683.69±34.53)mg and(96.98±10.53)μg in the control group,and the differences between the two groups were statistically significant(P<0.05).At 2,6 and 12 hours after operation,the Visual Analogue Scale scores of pain in the observation group were(1.29±0.41)points,(2.38±0.72)points,(1.76±0.15)points,respectively,which were lower than(2.41±0.53)points,(3.96±0.85)points,(3.01±0.26)points in the control group,the difference between the two groups was statistically significant(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Transversus abdominis nerve block can stabilize hemodynamics indicators,promote postoperative recovery and relieve postoperative pain in patients with LA,without serious adverse reactions.
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