首页|超声引导双侧腹横肌平面神经阻滞联合全麻对腹腔镜子宫切除术患者的应用

超声引导双侧腹横肌平面神经阻滞联合全麻对腹腔镜子宫切除术患者的应用

Application of ultrasound-guided bilateral transverse abdominis plane block com-bined with general anesthesia in patients undergoing laparoscopic Hysterectomy

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目的 观察超声引导双侧腹横肌平面神经阻滞联合全麻对腹腔镜子宫切除术患者的应用效果.方法 选取2021年7月~2023年7月本院接受腹腔镜子宫切除手术患者120例.按照麻醉方式分为对照组(65例)与观察组(55例),对照组行单纯全身麻醉,观察组在对照组基础上行超声引导双侧腹横肌平面神经阻滞.对比两组入麻醉室(T0)、麻醉诱导开始(T1)、气管插管时(T2)、手术开始时(T3)、手术结束时(T4)应激反应、血流动力学指标及麻醉质量.结果 两组应激反应及血流动力学指标在T0、T1、T2时期比较无明显差异(P>0.05),T3、T4时期观察组应激反应及血流动力学指标低于对照组(P<0.05);观察组麻醉质量优于对照组(P<0.05).结论 超声引导双侧腹横肌平面神经阻滞联合全麻对腹腔镜子宫切除术患者的应激反应及血流动力学指标影响较低,同时麻醉质量较优.
Objective To observe the application effect of ultrasound-guided bilateral transverse abdominis plane block com-bined with general anesthesia in patients undergoing laparoscopic hysterectomy.Methods A total of 120 patients who underwent laparoscopic hysterectomy in our hospital from July 2021 to July 2023 were selected.According to the anesthesia method,they were divided into control group(65 cases)and observation group(55 cases).The control group received simple general anesthesia,and the observation group received ultrasound guided bilateral lateral transverse muscle plane nerve block on the basis of the control group.The stress response,hemodynamic indexes and anesthesia quality were compared between the two groups when entering an-esthesia room(T0),beginning of anesthesia induction(T1),tracheal intubation(T2),beginning of surgery(T3),end of surgery(T4).Results There were no significant differences in stress response and hemodynamic indexes between the two groups in T0,T1 and T2(P>0.05),and the stress response and hemodynamic indexes in T3 and T4 groups were lower than those in control group(P<0.05).The anesthetic quality of the observation group was better than that of the control group(P<0.05).Conclusion Ultrasound-guided bilateral transverse abdominis plane block combined with general anesthesia has a little influence on stress reactions and he-modynamics indicators in patients undergoing laparoscopic hysterectomy,and the anesthesia quality is relatively better.

Ultrasound-guidedBilateral transverse abdominis plane blockLaparoscopyHysterectomy

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南充市中心医院/北京安贞医院南充医院麻醉科 四川南充 637000

超声引导 双侧腹横肌平面神经阻滞 腹腔镜 子宫切除术

2024

西藏医药
西藏医学会

西藏医药

ISSN:1005-5177
年,卷(期):2024.45(4)