文献类型：期刊文献

英文题名：Analgesic efficacy of trocar sites local anesthetic infiltration with and without transversus abdominis plane block after laparoscopic hysterectomy: a randomized trial

作者：Huang, Shenghui[1];Mi, Shengquan[2];He, Yingyan[3];Li, Yi[1];Wang, Shuanke[4]

第一作者：Huang, Shenghui

通讯作者：Wang, SK[1]

机构：[1]Lanzhou Univ, Dept Anesthesiol, Hosp 2, Lanzhou 730000, Peoples R China;[2]Beijing Union Univ, Dept Food Sci, Coll Arts & Sci, Beijing, Peoples R China;[3]451 Hosp Peoples Liberat Army PLA, Dept Anesthesiol & Operat, Xian, Peoples R China;[4]Lanzhou Univ, Dept Orthoped, Hosp 2, Lanzhou 730000, Peoples R China

第一机构：Lanzhou Univ, Dept Anesthesiol, Hosp 2, Lanzhou 730000, Peoples R China

通讯机构：[1]corresponding author), Lanzhou Univ, Dept Orthoped, Hosp 2, Lanzhou 730000, Peoples R China.

年份：2016

卷号：9

期号：3

起止页码：6518-6524

外文期刊名：INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE

收录：;Scopus(收录号：2-s2.0-84964294629);WOS:【SCI-EXPANDED(收录号:WOS:000377959900143)】；

语种：英文

外文关键词：Laparoscopic hysterectomy; local analgesic; analgesia

摘要：Background: In gynecologic laparoscopic procedures, both the transversus abdominis plane (TAP) block and local analgesic (LA) infiltration of trocar insertion sites were suggested as components of multimodal approach for postoperative analgesia, and their effects were controversial. However, there is limited data comparing the combination of these 2 approaches and either regimen alone. Material and methods: Seventy-one women who underwent laparoscopic hysterectomy were randomly divided into 2 groups: the TAP group (n = 35, performed with TAP block after tracheal intubation) and the control group (n = 36). All subjects had trocar sites LA infiltration before closure of trocar incision sites and multimodal analgesia postoperatively. A numeric rating scale (NRS) was used to evaluate the pain relief and to record additional analgesic usage; other outcomes such as length of stay, adverse effects, and satisfaction scores were also assessed. Results: The 2 groups had comparable demographic information. Patients in the TAP group had significantly lower NRS compared with those in the control group (P<0.05); reduced postoperative analgesics requirement was also shown (parecoxib requirement of 60-80 mg: 11 cases vs. 34 cases, P<0.01; sufentanil supplementation: 3 case vs. 10 cases, P<0.05). In addition, satisfaction scores were significantly more satisfactory in the TAP block group (Z = 1.61, P<0.01) and comparable results were shown in length of stay and adverse effects between the 2 groups (P>0.05). Conclusion: After laparoscopic hysterectomy, conjunction of TAP block and trocar sites LA infiltration may be a better analgesic regimen compared to the latter alone.