Comparison of analgesic effect ofintercostal planeblock of external oblique muscleand transversus muscle plane block ofabdomenafter cholecystectomy
Objective To compare the effects of external oblique intercostal block(EOIB)and transversus abdominis planeblock(TAPB)in postoperativeanalgesia after laparoscopiccholecystectomy.Methods A total of 74 patients scheduled to undergo laparoscopic cholecystectomy(LC)in the hospitalin February and June 2023 were selected as study subjects.Thepatients were randomly divided into Group E and Group T using a random number table method,with 37 patients in each group.Group E received EOIB,Group T received TAPB,and both groups received total intravenous anesthesia.At 2,6,12,and 24 hours after surgery,both groups were evaluated for pain levels during rest and exercise using Visual Analog Scale(VAS).Compare the intraoperative dosages of sufentanil and remifentanil between two groups,the time of first postoperative ventilation,time of first ambulation,length of hospital stay,incidence of postopera-tive adverse reactions,Ramsay sedation score at 6 hours post surgery,number of additional postoperative analgesics used,and postoperative satisfaction.Results Compared with group T at rest 6 hours after sur-gery,group E had a lower VAS score(P＜0.05).Compared with group T at 2,6,12 and 24 hours of postoperative exercise,group E had a lower VAS score(P＜0.05).Compared with group T,group E had a shorter time for first postoperative exhaust,first time out of bed,hospital stayand a lower incidence of nausea(P＜0.05).There was no statistically significant difference(P＞0.05)in the amount of sufentanil and remifentanil used during surgery,postoperative Ramsay sedation score,and the number of additional postoperative analgesics between the two groups.Conclusion Compared with TAPB,EOIB applied to LC patients shows certain advantages in improving the postoperative analgesia effect,promoting postoperative recovery,reducing the incidence of nausea and improving postoperative satisfaction.
万方数据
维普
