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Analgesic effect of ultrasound-guided bilateral transversus abdominis plane block in laparoscopic gastric cancer

World Journal of Gastrointestinal Surgery 2023年第10期15卷 2171-2178页

作者： Ya-Ya Wang Hua-Jun Fu Department of Anesthesiology Shaanxi Provincial People’s HospitalXi'an 710068Shaanxi ProvinceChina

BACKGROUND Postoperative complications are important factors affecting the survival time and quality of life of patients undergoing radical *** To investigate and compare the anesthetic effects of intravenous general anesthesia combined with epidural anesthesia or ultrasound-guided bilateral transversus abdominal plane block(TAPB)in gastric cancer patients undergoing laparoscopic radical *** The clinical data of 85 patients who underwent laparoscopic radical gastrectomy in our hospital from December 2020 to January 2023 were retrospectively collected and divided into a TAPB group(n=45)and epidural anesthesia group(n=40)according to the different anesthesia and analgesia programs *** TAPB group received general anesthesia combined with TAPB,and the epidural anesthesia group received general anesthesia combined with epidural *** pain status,cognitive status,intestinal barrier indicators,recovery quality,and incidence of complications were compared between the two *** Compared with the epidural anesthesia group,the TAPB group’s visual analog scale scores were significantly lower 6 h,12 h,24 h and 48 h after surgery(P<0.05).The incidence of postoperative cognitive dysfunction(POCD)in the TAPB group was significantly lower than that in the epidural anesthesia group,and the Mini-mental State Examination score 24 h after surgery was significantly higher in the TAPB group than the epidural anesthesia group(P<0.05).The levels of diamine oxidase and plasma D-lactate were significantly lower in the TAPB group than the epidural anesthesia group 24 h after surgery(P<0.05).The agitation score and the incidence of agitation during recovery were significantly lower in the TAPB group than epidural anesthesia group(P<0.05).The total incidence of postoperative complications in the TAPB group was 4.44%,significantly lower than the 20.00%in the epidural anesthesia group(P<0.05).CONCLUSION Compared with epidural anesthesia combined w

关键词： Laparoscopic radical gastrectomy ultrasound-guided bilateral transversus abdominal plane block Cognitive impairment Intestinal barrier function

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