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腹横肌平面阻滞技术在腹部手术后镇痛中的应用 被引量：15

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摘要 术后疼痛治疗是腹部手术术后管理重要的组成部分。良好的镇痛可以减少术后并发症发生，缩短住院时间，有利于患者恢复。腹部手术的疼痛主要来自腹壁切口，传统的静脉自控镇痛或硬膜外镇痛虽然镇痛效果确切，但存在术后恶心、呕吐、过度镇静甚至呼吸抑制等风险。腹横肌平面（ TAP ）阻滞是一种区域阻滞方法，即将局部麻醉药注入腹内斜肌和腹横肌之间的筋膜平面以阻断腹壁前侧的神经支配［1］，从而减轻皮区腹部切口疼痛，其优点是作用确切，对呼吸、循环及植物神经系统影响小，安全性高［2］。随着超声技术的引进以及肋缘下穿刺技术的发展，TAP阻滞已经成为腹部手术术后疼痛或前腹壁慢性疼痛综合征的一种诊断工具及治疗手段。现对TAP在腹部手术术后镇痛中的应用概述如下。
作者 王国湘 王凯元
机构地区 蓟县人民医院 天津医科大学肿瘤医院
出处 《山东医药》 CAS 2014年第14期98-100,共3页 Shandong Medical Journal
关键词 腹横肌平面阻滞 镇痛 腹部手术
分类号 R614 [医药卫生—麻醉学]
  • 相关文献

参考文献18

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二级参考文献7

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  • 7何建华,马曙亮,顾连兵,黄凤伦.超声引导腹横肌平面阻滞在结直肠癌手术中的应用[J].临床麻醉学杂志,2010,26(12):1070-1072. 被引量：31

共引文献24

同被引文献93

  • 1陈永浩,李红,周孝道,杨伟东,张德文.硬膜外自控镇痛对同种异体肾移植术后肾功能的影响[J].现代实用医学,2007,19(6):484-485. 被引量：3
  • 2Bsenberg AT, Thomas J, Cronje L,et al.Pharmacokinetics and efficacy ofropivacaine for continuous epidural infusion in neonates and infants.Paediatr Anaesth,2005,15:739-749.
  • 3徐铭军.超声引导下TAP阻滞在妇产科手术术后镇痛中的应用[J].Clinic门诊,2013,12(2):153-158.
  • 4MCDONNELLJ G, O'DONNELL B, CURLEY G, et al. The anal- gesic efficacy of transversus abdominis plane block after abdominal surgery[J]. Anesth Analg, 2007, 104(5) : 193 -197.
  • 5MISHRIKY B, GEORGE R D, HABIB A D. Transversus abdominis plane block for analgesia after cesarean delivery: a systematic review and meta -analysis[J]. Can J Anesth, 2012, 59(5) : 766 -778.
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  • 7WOODS A B, CRIST B, CARROLL J, et al. A cross - sectional analysis of the effect to patient controlled epidural analgesia versus patient controlled analgesia on postcesarean pain and breastfeeding [ J]. J Obstet Gynecol Neonatal Nurs, 2012, 41 (3) : 339 -441.
  • 8ROZEN W M, TRAN T M, ASHTON M W, et al. Refining the course of thethoracolumbar nerves : a new understanding of the in- nervation ofthe anterior abdominal wall[ J]. Clin Anat, 2008, 21 (4) : 325 -333.
  • 9CARNEY, McDONNELL J G, OCHANA A, et al. The transver- sus abdominis plane block provides effective postoperative analgesi- a inpatients undergoing total abdominal hysterectomy[ J ]. Anesth Analg, 2008, 107(6): 2056-2060.
  • 10Rafi AN.Abdominal field block:a new approach via the lumbar trian gle[J].Anaesthesia,2001,56(10):1024-1026.

引证文献15

二级引证文献119

山东医药
2014年 第14期

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