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目的: 探讨超声引导腹横肌平面阻滞 (transversus abdominis plane block, TAPB) 对下腹部切口疝修补术术后疼痛的 影响。方法: 选择择期全身麻醉行腹部切口疝无张力修补术患者60例, 采用随机法分为对照组 (C组) 和TAPB组, 每组30例. C组行常规全麻; TAPB组全麻后行超声引导下TAPB。以视觉模拟评分法 (visual analogue scale, VAS) 评估术后2 h, 4 h, 6 h, 24 h, 90 d的疼痛评分; 记录术前, 术中, 术后患者的平均动脉压 (mean arterial pressure, MAP) 和心率 (heart rate, HR), 术中芬太尼和 瑞芬太尼的使用量, 术后恶心, 呕吐的发生率, 抽血检测术前和术后24 h血清皮质醇 (cortisol, Cor), 去甲肾上腺素 (norepineph⁃ rine, NE), 白介素 (interleukin, IL) ⁃6水平。结果: TAPB组患者术后2 h, 6 h, 24 h, 90 d的VAS评分, 术中, 术后MAP, 术中芬太尼 使用量及术后24 h血清Cor, NE, IL⁃6水平均显著低于C组 (P < 0.05) 。结论: TAPB可为下腹部切口疝修补术患者提供良好的 术后镇痛, 减轻炎症和应激反应. [ABSTRACT FROM AUTHOR]

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Copyright of Forest Research is the property of Forest Research Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Transactions of the Chinese Society of Agricultural Engineering is the property of Chinese Society of Agricultural Engineering and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)