Application of ultra-early diet combined with ropivacaine for transverse abdominis plane block analgesia in the rehabilitation of patients with laparoscopic colorectal cancer
Objective To observe the effect of ultra-early diet combined with ropivacaine transverse ab-dominis plane(TAP)block analyesia in the rehabilitation of patients with laparoscopic colorectal cancer.Meth-ods From January 2021 to January 2023,a total of 120 patients with colorectal cancer who underwent laparo-scopic radical resection in the Gastrointestinal Department of this hospital were selected and randomly divided into the experimental group and the control group,with 60 patients in each group.The experimental group re-ceived ultra-early diet combined with 0.375％ropivacaine 20 mL ultrasound guided TAP block analgesia and rehabilitation treatment after surgery,while the control group used tramadol to relieve pain after routine sur-gery.The postoperative analgesic effect,gastrointestinal function recovery,adverse reactions,hospital stay,and treatment costs were compared between the two groups.Results The pain visual analogue score in the experi-mental group was lower than that in the control group at 2,4,12,24 hours after surgery;The exhaust,initial drinking water,initial diet,ambulatory activities times,hospitalization days,and hospitalization expenses in the control group were better than those in the control group;The incidence of adverse reactions was lower than that of the control group,the differences were statistically significant(P＜0.05).Conclusion Ultra-early diet combined with ropivacaine TAP block analgesia can significantly alleviate postoperative pain,shorten gastroin-testinal recovery time,promote early ambulation,shorten hospital stay,reduce treatment costs,and improve quality of life in patients with laparoscopic colorectal cancer,which is worthy of clinical promotion and applica-tion.
万方数据
维普
