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| The application of B ultrasonography guided TAP block combined with general anesthesia in gynecologic laparoscopic operation |
| 1. 908 Hospital of joint logistic support department, PLA, Nanchang, JiangxiProvince, 330000; 2. Jiangxi Province People's Hospital |
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Abstract Objective: To explore the application of B ultrasonography guided transversus abdominis plane (TAP) block combined with general anesthesia in gynecologic laparoscopic operation. Methods: 62 women who experienced gynecologic laparoscopic operation under general anesthesia from June 2017 to June 2018 were selected and divided into two groups according to the different methods of analgesia (31 cases in each group). The women in both groups were given patient controlled intravenous analgesia (PCIA). After induction of anesthesia, the women in study group were given bilateral TAP block (0.25% ropivacaine hydrochloride 30ml) guided by B ultrasonography, and the women in control group were injected with 30 ml normal saline. The dosage of analgesics, postoperative recovery situation, postoperative pain score, and analgesic effect were compared between the two groups, and the rate of adverse reactions and satisfaction degree of women were also observed. Results: The visual analogue scale (VAS) at different time points after operation of women in study group was significant lower than that of women in control group, but bruggrmann comfort scale (BCS) score was significant higher than that of women in control group (P<0.05). There was no significant difference in Ramsay sedation score between the two groups (P>0.05). The dosage of fentanyl, recovery time, and tracheal intubation time of women in study group were significant lower than those of women in control group, but the satisfaction degree of analgesia was significant higher than that of women in control group (P<0.05). There was no significant difference in anal exhaust time and incidence rate of postoperative adverse reactions between the two groups (P>0.05). Conclusion: B ultrasonography guided TAP block combined with general anesthesia for operation by gynecologic laparoscopy can significantly reduce fentanyl dosage, and can improve the effect of postoperative obviously, relieve pain symptoms, reduce the incidence of adverse reactions, and improve satisfaction of women.
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