腹腔镜导向的横腹部平面块用于更好的术后疼痛缓解在腹腔镜 Hernia 修复:一个观察性研究
Mohit Rakhecha1, Paritosh Gupta1, Ruchika Babal2
1Department of General Surgery and Minimal Access Surgery, Artemis Health Institute, Gurgaon, IND.
Cureus
|November 20, 2025
概括
横向腹部平面 (TAP) 阻断显著减少了腹腔镜腹修复后的直接术后疼痛和阿片类药物使用. 这种区域麻醉技术还有助于更早的行走和患者出院.
科学领域:
- 腹部外科手术 腹部外科手术
- 区域麻醉地区麻醉
- 疼痛管理 疼痛管理
背景情况:
- laparoscopic腹腔修复 (LVHR) 是标准的,但由于 sutures 和 tackers 造成显著的术后疼痛.
- 横腹平面 (TAP) 块为前腹壁提供区域麻醉,可能减少疼痛并有助于恢复.
研究的目的:
- 评估腹腔镜TAP阻塞在减少术后疼痛和改善LVHR后恢复方面的有效性.
主要方法:
- 一项前性,单盲研究,涉及50名接受LVHR的患者.
- 患者被分为两组:一组用布皮瓦卡因 (试验组) 接受TAP阻断剂,另一组用盐水 (对照组).
- 术后疼痛使用视觉模拟尺度 (VAS) 在2,6,12,24和48小时后进行评估.
主要成果:
- 与对照组相比,试验组在术后报告了明显较低的VAS疼痛得分 (p<0.0001).
- 六小时后,测试组中需要使用的阿片类药物较少 (p<0.0001).
- 在24小时和48小时后,没有注意到疼痛评分的显著差异.
结论:
- laparoscopic TAP 阻断显著降低了 LVHR 后的手术后立即疼痛.
- 该TAP区块促进了较早的行走,减少了救援药物的需要,并促进了较早的出院准备.
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