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| Analgesic effect of ropivacaine abdominal transverse muscle plane blocking for patients experienced gynecological laparoscopic surgery |
| Jiangbei Hospital, Affiliated to Southeast University (Nanjing Dachang Hospital), Nanjing Jiangsu Province,210000 |
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Abstract To explore the analgesic effect of ropivacaine abdominal transverse muscle plane blocking for patients experienced gynecological laparoscopic surgery. Methods: 80 patients who had experienced gynecological laparoscopic surgery treated in Jiangbei hospital were divided into two groups by random number table (40 cases in each group). The patients in observation group received ropivacaine abdominal transverse muscle plane blocking at the time of induction of anesthesia, and the patients in control group received intravenous analgesia after surgery completed. The heart rate (HR) and mean arterial pressure (MAP) of patients at different time point, and the amount of narcotic drugs, the degree of postoperative pain, and the adverse reactions of patients were compared between the two groups. Results: The MAP and HR of patients in observation group at T1, T2 and T3 were significant lower than those of patients in control group (P<0.05). The dosages of sevoflurane and sufentanil of patients used in observation group were significant lower than those of patients used in control group. The awakening time, spontaneous breathing time and extubation time of patients in observation group were significant shorter than those of patients in control group (P<0.05). The VAS scores of patients in observation group at 2h, 4h and 12h after operation were significant lower than those of patients in control group (P<0.05). There was no significant different in VAS score at 24h after operation between the two groups (P>0.05). The incidence of postoperative adverse reactions of patients in observation group was 12.5%, which was significant lower than that (32.5%) of patients in control group (P<0.05). Conclusion: The application of ropivacaine abdominal transverse muscle plane blocking for patients experienced gynecological laparoscopic surgery can reduce the postoperative pain, reduce the dosage of anesthetic, and is benefit for recovery of patients after operation.
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