Analysis of the Different Effects of Preoperative Different Doses of Ropivacaine Transversus Abdominis Plane Block on Patients Undergoing Laparoscopic Radical Ovarian Cancer Surgery
Objective To analyze the different effects of preoperative different doses of ropivacaine transversus abdominis plane block on patients undergoing laparoscopic radical ovarian cancer surgery.Methods 102 female patients who underwent laparoscopic radical ovarian cancer surgery in Shangqiu Renhe Traditional Chinese Medicine Hospital from January 2020 to December 2023 were selected as the research subjects.The enrolled patients were divided into groups according to the random number table method.They were divided into the control group(n=51)and the observation group(n=51).The control group patients used a low dose of ropivacaine injection to complete the transversus abdominis plane block,and the total dose of the drug was 0.3 mL/kg.The observation group patients used a high dose of ropivacaine injection to complete the block,and the total dose of the drug was 0.5 mL/kg.Record the postoperative anesthesia recovery quality-related indicators of the two groups of patients,the cognitive ability of the patients before and 24 hours after the surgery,the pain level of the patients at different time points after the surgery at rest,and the use of sufentanil within 24 hours after the surgery and the effective pressure of the analgesic pump Times.Results There was no statistical significance in the comparison of the data of the extubation time and the respiratory rate at the time of extubation after the operation of the two groups of patients(P＞0.05).The cough score of the observation group was lower than that of the control group,and the Ramsay sedation score of the observation group was higher than that of the control group,and the difference was statistically significant(P＜0.05).There was no statistical significance in the comparison of the Mini-Mental State Examination(MMSE)and Montreal Cognitive Assessment(MoCA)before and 24 hours after the operation of the two groups of patients(P＞0.05).The MMSE score and MoCA score of the two groups of patients 24 hours after the operation were lower than those before the operation of the group,and the difference was statistically significant(P＜0.05).Repeated measures analysis of variance showed that the visual analog score(VAS)of the control group at rest was higher than that of the observation group,and the difference was statistically significant(F=36.231,P＜0.05);the VAS score at different time points after the operation at rest was compared,and the difference was statistically significant(F=28.654,P＜0.05),and in the pairwise comparison,the difference in VAS score data at any two time points was statistically significant(P＜0.05);the VAS score at different time points after the operation at rest had an interaction(F=17.087,P＜0.05).The use of sufentanil within 24 hours after the operation and the effective pressure times of the analgesic pump in the observation group were lower than those in the control group,and the difference was statistically significant(P＜0.05).Conclusion The use of 0.5 mL/kg of ropivacaine to perform transversus abdominis plane nerve block before laparoscopic radical ovarian cancer surgery can effectively improve the severity of postoperative pain in patients,and will not cause obvious damage to the cognitive function of patients,and can also improve the recovery quality of patients.,Improve the analgesic effect.
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维普
