The Postoperative Analgesic Effect on Continuous and Intermittent Ultrasound-guided Transversus AbdominisPlane Block in Laparoscopic Bilateral Inguinal Hernia Repair
Abstract: ?Objective?To evaluate the effects and safety of postoperative analgesia of continuous and intermittent ultrasound-guided transversus abdominis plane (TAP) block in laparoscopic bilateral inguinalhernia repair.Methods?A total of 90 patients,ASA Ⅰto Ⅱ,undergoing laparoscopic bilateral inguinalhernia repair were randomlydivided into continuous group (Group B1),intermittent group (Group B2) and control group (Group C).All groups were implemented general anesthesia.After operation,3 groups received bilateral ultrasound-guided transversus abdominis plane block.Catheters were placed by the primary investigator under ultrasound guidance.A bolusdose of 0.25% bupivacaine 20ml was given to Group B1and Group B2 followed by catheter insertion respectively,while isodose saline was given to Group C.Then,0.25% bupivacaine was given continuously with 2ml/h in Group B1,a bolusdose 0.25% bupivacaine was given with 16ml per 8hours in Group B2 and saline was given with 2ml/h in Group C.The VAS was recorded at the time point after the operation (T0),2hours(T1),4hours(T2),6hours(T3),8hours(T4),16hours(T5) and 24hours(T6) after the operation,thedosage of sufentanil and the incidence of adverse reaction within 24hours after the surgery was observed.Results?All three groups accomplished the surgery successfully with gooddiffusion of anesthetics and there were no serious adverse reaction within 24hours after operation.The VAS score of both group B1and B2 were lower than that of group C (P<0.05),but there was no statisticaldifference between the group B1and B2 at T1to T6 (P>0.05).Thedosage of sufentanil were less in both group B1and B2 than that in Group C (P<0.05),but there were no statisticaldifference between the group B1and B2 in 24hours after the surgery (P>0.05).Conclusions?Ultrasound-guided transversus abdominis plane blockhas accurate location,high success rate and slender adverse reaction.Both continuous and intermittent injection of 0.25% bupivacaine are safe and effective for postoperative analgesia by providing satisfied analgesia effect,reducing thedosage of postoperative analgesicdrugs after laparoscopic bilateral inguinalhernia repair.
魏会霞，王贤裕. 连续与间断腹横肌平面阻滞对腹腔镜下双侧腹股沟疝修补术后的镇痛作用[J]. 中国现代手术学杂志, 2018, 22(1): 72-876.
WEI Hui-xia. The Postoperative Analgesic Effect on Continuous and Intermittent Ultrasound-guided Transversus AbdominisPlane Block in Laparoscopic Bilateral Inguinal Hernia Repair. Chinese Journal of Modern Operative Surgery, 2018, 22(1): 72-876.
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2018, Vol. 22 
