Effect of Ultrasound-guided Transversus Abdominis Plane Block Anesthesia on Patients with Acute Appendicitis Undergoing Laparoscopic Surgery
Objective:To explore the effect of ultrasound-guided transversus abdominis plane block(TAPB)anesthesia on patients with acute appendicitis(AA)undergoing laparoscopic surgery.Method:A total of 96 AA patients who underwent laparoscopic appendectomy in the Sixth People's Hospital of Xuzhou from June 2022 to May 2023 were selected and randomly divided into the observation group and the control group,48 cases in each group.The control group received general anesthesia,while the observation group received ultrasound-guided TAPB anesthesia combined with general anesthesia.The heart rate,average arterial pressure,amount of general anesthesia drugs,postoperative resuscitation quality and gastrointestinal function recovery of patients in the two groups were observed and compared at various time points.Result:The heart rate and mean arterial pressure at T1 to T5 in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).The consumption of Sufentanil and Propofol in the observation group were significantly less than those in the control group,and the differences were statistically significant(P<0.05).The eye opening time,tracheal catheter removal time,full recovery time and numerical ratings scale(NRS)score after recovery in the observation group were significantly lower than those in the control group,and the observer's assessment of alertness/sedation(OAA/S)score was significantly higher than that in the control group,and the differences were statistically significant(P<0.05).The first postoperative exhaust time and bowel sound recovery time in the observation group were significantly earlier than those in the control group,and the gastrointestinal symptoms rating scale(GSRS)score was significantly lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion:Ultrasound-guided TAPB anesthesia has a remarkable effect in laparoscopic surgery for AA,which can effectively stabilize patients'intraoperative physiological indexes,reduce the amount of anesthetic drugs,promote rapid postoperative recovery,reduce the degree of pain,and accelerate the recovery of gastrointestinal function.
Ultrasound-guidedTransversus abdominis plane block anesthesiaAcute appendicitisLaparoscopic surgeryRecovery qualityGastrointestinal function
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