PDF(Pubmed)
Abstract：
UNASSIGNED: Moderate-to-severe intensity pain is reported on the first day following lower abdominal surgery. No study has compared transversus abdominis plane (TAP) block with retrolaminar block (RLB) in laparoscopic inguinal hernia surgery for postoperative pain relief.
UNASSIGNED: In this prospective, randomized trial, 42 male patients of American Society of Anesthesiologists (ASA) physical status I and II, aged 18-65 years, and having a BMI <40 kg/m2 received TAP or RLB following laparoscopic inguinal hernia surgery. A standard general anesthetic technique was performed. Patients were randomized into two groups: single-shot TAP block (group I) (n = 21) or the RLB (group II) (n = 21) with bilateral 20 ml of 0.375% ropivacaine. Postoperatively, IV paracetamol 1 g was administered as rescue analgesia. Postoperative cumulative Visual Analogue Scale (VAS) score 24 hours after surgery was considered as the primary outcome.
UNASSIGNED: Postoperative cumulative VAS score at rest at 24 h, represented as mean ± S.D (95% CI), in the TAP block group was 3.54 ± 3.04 (2.16-4.93) and in the RLB group was 6.09 ± 4.83 (3.89-8.29). P value was 0.112 and VAS on movement was 7.95 ± 3.41 (6.39-9.50 [2.5-15.0]) in TAP block group, whereas P value was 0.110 and VAS on movement was 10.83 ± 5.51 (8.32-13.34) in the RLB group.
UNASSIGNED: Similar postoperative cumulative pain score on movement at 24 h was present in patients receiving TAP block or RLB. However, VAS score at rest and on movement was reduced in patients receiving TAP block at 18 and 24 h postoperatively.
UNASSIGNED: In this prospective, randomized trial, 42 male patients of American Society of Anesthesiologists (ASA) physical status I and II, aged 18-65 years, and having a BMI <40 kg/m2 received TAP or RLB following laparoscopic inguinal hernia surgery. A standard general anesthetic technique was performed. Patients were randomized into two groups: single-shot TAP block (group I) (n = 21) or the RLB (group II) (n = 21) with bilateral 20 ml of 0.375% ropivacaine. Postoperatively, IV paracetamol 1 g was administered as rescue analgesia. Postoperative cumulative Visual Analogue Scale (VAS) score 24 hours after surgery was considered as the primary outcome.
UNASSIGNED: Postoperative cumulative VAS score at rest at 24 h, represented as mean ± S.D (95% CI), in the TAP block group was 3.54 ± 3.04 (2.16-4.93) and in the RLB group was 6.09 ± 4.83 (3.89-8.29). P value was 0.112 and VAS on movement was 7.95 ± 3.41 (6.39-9.50 [2.5-15.0]) in TAP block group, whereas P value was 0.110 and VAS on movement was 10.83 ± 5.51 (8.32-13.34) in the RLB group.
UNASSIGNED: Similar postoperative cumulative pain score on movement at 24 h was present in patients receiving TAP block or RLB. However, VAS score at rest and on movement was reduced in patients receiving TAP block at 18 and 24 h postoperatively.
摘要：
■在下腹部手术后的第一天报告了中度至重度的疼痛。没有研究比较腹横肌平面（TAP）阻滞与后椎板阻滞（RLB）在腹腔镜腹股沟疝手术中的术后疼痛缓解。
■在这个前景中，随机试验,美国麻醉医师协会（ASA）的42名男性患者的身体状况I和II，18-65岁,BMI<40kg/m2的患者在腹腔镜腹股沟疝手术后接受TAP或RLB。进行了标准的全身麻醉技术。患者被随机分为两组：单次TAP阻滞（I组）（n=21）或RLB（II组）（n=21），双侧20ml0.375％罗哌卡因。术后,静脉给予扑热息痛1g作为抢救镇痛。术后24小时累积视觉模拟评分（VAS）评分被认为是主要结果。
■术后24小时休息时的累积VAS评分，表示为平均值±S.D（95%CI），TAP阻滞组为3.54±3.04(2.16~4.93),RLB组为6.09±4.83(3.89~8.29).TAP阻滞组P值为0.112,运动VAS值为7.95±3.41(6.39~9.50[2.5~15.0]),而RLB组的P值为0.110，运动时的VAS值为10.83±5.51（8.32-13.34）。
■在接受TAP阻滞或RLB的患者中，术后24h运动时的累积疼痛评分相似。然而,术后18小时和24小时接受TAP阻滞的患者在休息和运动时的VAS评分降低。
■在这个前景中，随机试验,美国麻醉医师协会（ASA）的42名男性患者的身体状况I和II，18-65岁,BMI<40kg/m2的患者在腹腔镜腹股沟疝手术后接受TAP或RLB。进行了标准的全身麻醉技术。患者被随机分为两组：单次TAP阻滞（I组）（n=21）或RLB（II组）（n=21），双侧20ml0.375％罗哌卡因。术后,静脉给予扑热息痛1g作为抢救镇痛。术后24小时累积视觉模拟评分（VAS）评分被认为是主要结果。
■术后24小时休息时的累积VAS评分，表示为平均值±S.D（95%CI），TAP阻滞组为3.54±3.04(2.16~4.93),RLB组为6.09±4.83(3.89~8.29).TAP阻滞组P值为0.112,运动VAS值为7.95±3.41(6.39~9.50[2.5~15.0]),而RLB组的P值为0.110，运动时的VAS值为10.83±5.51（8.32-13.34）。
■在接受TAP阻滞或RLB的患者中，术后24h运动时的累积疼痛评分相似。然而,术后18小时和24小时接受TAP阻滞的患者在休息和运动时的VAS评分降低。
