|
|
|
| Application of Ultrasound-guided Transversus Abdominis Plane Block Combined with Laryngeal Mask General Anesthesia in Patients with Laparoscopic Cholecystectomy |
| ZHANG Jianlin, JI Wei, CHEN Yongjun, LI Shujie |
| First-author's address: Beijing Changping Hospital of Chinese Medicine, Beijing 102200, China |
|
|
|
|
Abstract Objective: To observe the application effect of ultrasound-guided transversus abdominis plane block (TAPB) combined with laryngeal mask general anesthesia in patients with laparoscopic cholecystectomy. Method: A total of 100 patients who underwent laparoscopic cholecystectomy in Beijing Changping Hospital of Chinese Medicine from October 2019 to October 2021 were selected as the research subjects. They were divided into observation group and control group by random number table method, with 50 cases in each group. The control group was treated with laryngeal mask general anesthesia, and the observation group was treated with ultrasound-guided TAPB combined with laryngeal mask general anesthesia, patient controlled intravenous analgesia was used in both groups. Heart rate (HR) and mean arterial pressure (MAP) were compared between the two groups at 5 minutes after anesthesia induction (T1), skin incision (T2), cholecystectomy (T3), and the end of operation (T4); the pain degree [visual analogue scale (VAS)] at 6 h (T5), 12 h (T6), 24 h (T7) and 48 h (T8) after anesthesia awakening was compared between the two groups; the dosage of narcotic drugs and adverse reactions within 48 hours after operation were compared between the two groups. Result: The HR and MAP of T2, T3, and T4 in both groups increased compared to T1, and the HR and MAP of T3 and T4 were higher than those of T2, the differences were statistically significant (P<0.05). The HR of T2, T3, and T4 in the observation group were slower than those in the control group, and the MAP were lower than those in the control group, the differences were statistically significant (P<0.05). The VAS scores of the two groups were in an increasing stage from T6 to T8, compared with T5, the VAS scores of T6, T7, and T8 were all higher, and the VAS scores of T7 and T8 were higher than those of T6, the VAS score of T8 was higher than that of T7, the differences were statistically significant (P<0.05). The VAS scores of T6-T8 in the observation group were lower than those of the control group, the differences were statistically significant (P<0.05). The dosage of Propofol, Remifentanil and Sufentanil in the observation group were lower than those in the control group, the differences were statistically significant (P<0.05). There was no statistical significant difference in the total incidence of adverse reactions between the two groups (P>0.05). Conclusion: Ultrasound-guided TAPB combined with laryngeal mask general anesthesia in patients with laparoscopic cholecystectomy can reduce stress response, maintain hemodynamic stability, reduce postoperative pain and reduce the dosage of narcotic drugs.
|
|
Received: 17 April 2023
|
|
|
|
|
|
|
