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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腹直肌后鞘神经阻滞 , TAP , 腹膜透析置管术