实用器官移植电子杂志

实用器官移植电子杂志 ›› 2021, Vol. 9 ›› Issue (4): 314-317.DOI: 10.3969/j.issn.2095-5332.2021.04.012

• 论著 • 上一篇    下一篇

腹直肌后鞘神经阻滞联合 TAP 在腹膜透析置管中的应用价值 

杨娜，姜华，夏克枢   

  1. 成都市第三人民医院麻醉科，四川 成都 610000

  • 出版日期:2021-07-20 发布日期:2023-04-12
  • 基金资助:
    成都市卫健委课题（2018115）

Application value of rectus abdominis posterior sheath nerve block combined with TAP in peritoneal dialysis catheterization

Yang Na，Jiang Hua，Xia Keshu.
  

  1. The Department of Anesthesiology，Chengdu Third People's Hospital，Chengdu 610000，Sichuan，China
  • Online:2021-07-20 Published:2023-04-12

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摘要：

目的 探讨腹直肌后鞘神经阻滞联合 TAP 在腹膜透析置管中的应用价值。方法 选择2018 年 6 月— 2020 年 7 月在本院住院部需要进行腹膜透析置管的患者 146 例，将其分为对照组（C 组）及实验组（T 组），每组 73 例患者，C 组患者采用腹直肌后鞘神经阻滞方式，T 组患者采用腹直肌后鞘神经阻滞联合 TAP 方式。比较两组患者术中疼痛度、抢救性镇痛次数及手术并发症，比较两组患者及外科医生满意度情况。结果 两组患者均成功进行腹膜透析置管，成功率 100%。相比于 C 组，T 组术中疼痛评分降低（P ＜0.05），抢救性镇痛次数减少（P ＜ 0.05），患者及外科医生满意度增加（P ＜ 0.05），且两组术中及术后并发症比较无统计学意义（P ＞ 0.05）。结论 腹直肌后鞘神经阻滞联合 TAP 是腹膜透析置管术的一种麻醉方式，安全有效，且不增加手术并发症。

关键词:

腹直肌后鞘神经阻滞 , TAP , 腹膜透析置管术

Abstract:

Objective To investigate application value of rectus abdominis posterior sheath nerve block combined with TAP in peritoneal dialysis catheterization. Methods From June 2018 to July 2020， 146 patients who needed peritoneal dialysis catheterization in our hospital were divided into control group（group C） and experimental group（group T），with 73 patients in each group. Patients in group C were treated with posterior rectus sheath nerve block，and patients in group T were treated with rectus abdominis posterior sheath nerveblock combined with TAP. The intraoperative pain intensity， number of rescue analgesia and surgical complications were compared between the two groups，and the satisfaction of patients and surgeons in the two groups was compared. Results The success rate was 100%. Compared with group C，the intraoperative pain score in group T was lower（P ＜ 0.05），the number of rescue analgesia was reduced（P ＜ 0.05），and the satisfaction of patients and surgeons was increased（P ＜ 0.05），there was no significant difference in the complications between the two groups（P ＞ 0.05）. Conclusion Posterior rectus abdominis sheath nerve block combined with TAP is a safe and effective anesthesia method for peritoneal dialysis catheterization，and it does not increase the surgical complications.

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