Ultrasound-guided transversalis fascia plane block versus anterior transversus abdominis plane block in outpatient inguinal hernia repair
Ultrasound-guided transversalis fascia plane block versus anterior transversus abdominis plane block in outpatient inguinal hernia repair
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DOI：
10.1016/j.redar.2016.02.005
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发表时间：
2016-11-01
影响因子：
1.3
通讯作者：
Padin Barreiro, L.
中科院分区：
文献类型：
--
作者：
Lopez-Gonzalez, J. M.;Lopez-Alvarez, S.;Padin Barreiro, L.
目的：比较超声引导下腹横筋膜平面阻滞(TFP)和腹前横筋膜平面阻滞(TAP-A)在门诊单侧腹股沟斜疝修补术中的术后镇痛效果。材料和方法：对ASA I~II级患者进行回顾性观察研究。TAP-A组和TFP组，在手术切开前给予0.25%左旋布比卡因30ml。主要观察指标为术后10、30、60、90min、同时下地活动和24小时电话检查时的言语数字评分(静息和活动时的VRN)。结果：共纳入61例患者，其中TAP-A组30例，TFP组31例。两组镇痛效果相似，但TAP-A组运动时VNR较高，术后10min(P=0.014)和30min(P=0.013)差异有统计学意义。TFP组感觉阻滞程度高于TAP-A组(P
Introduction: The aim of the study was to assess the effectiveness of ultrasound-guided transversalis fascia plane block (TFP) compared to anterior transversus abdominis plane block (TAP-A) for post-operative analgesia in outpatient unilateral inguinal hernia repair.Materials and methods: Retrospective observational study conducted on ASA I-II patients. Two groups (TAP-A and TFP), which were given 30ml of 0.25% levobupivacaine prior to surgical incision. The primary endpoint was the post-operative pain evaluated by verbal numerical scale (VRN at rest and movement) at 10, 30, 60, 90 min, coinciding with ambulation, and 24 hours by telephone. An evaluation was also made of the sensory block level reached prior to surgery, the need for additional analgesia, side effects, ease of performing the technique, and the level of satisfaction of patients with the anaesthetic-analgesic technique.Results: A total of 61 patients were included, 30 patients in the TAP-A group and 31 in the TFP group. The analgesic efficacy obtained in both groups was similar, although some higher values were found in the VNR on moving in the TAP-A group, reaching statistical difference at 10 minutes (P=.014) and 30 minutes (P=.013) post-operatively. A higher level of sensory block was achieved in the TFP group than in the TAP-A group (P