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首页> 外文期刊>Saudi Journal of Anaesthesia >Ultrasound-guided transversus abdominis plane block: What are the benefits of adding dexmedetomidine to ropivacaine?
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Ultrasound-guided transversus abdominis plane block: What are the benefits of adding dexmedetomidine to ropivacaine?

机译：超声引导的腹横肌平面阻滞：在罗哌卡因中添加右美托咪定有什么好处？

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Background: Ultrasound-guided transversus abdominis plane (TAP) block has recently come up as a modality to take care of postoperative pain. It can somewhat avoid the use of intravenous opioid analgesics and hence to avoid its complications. We have performed a prospective, double-blinded, randomized study to assess the analgesic effect of adding dexmedetomidine to local ropivacaine on TAP block for patients undergoing lower abdominal surgeries. Aim: The aim is to assess whether addition of dexmedetomidine to ropivacaine may bring some improvements to the analgesic efficacy of TAP blocks in patients undergoing lower abdominal surgeries. Materials and Methods: The study was conducted on forty patients undergoing lower abdominal surgeries under general anesthesia. The patients were divided into two groups: one receiving plain ropivacaine (Group 1) and other receiving ropivacaine with dexmedetomidine (Group 2) during TAP block. The patients in the two groups were compared for age, sex, body mass index, incidence of postoperative nausea, and vomiting and pain as measured on visual analog scale (VAS). Results: There was significantly lower pain score on VAS at 1, 3, 6, 12, and 18 h in Group 2 than in Group 1. Conclusion: The addition of dexmedetomidine to ropivacaine during TAP block improves analgesic effect of TAP block and prolongs the duration of analgesia as well. Key words: Dexmedetomidine, ropivacaine, transversus abdominis plane block, ultrasound
机译：背景：超声引导的横断腹肌平面（TAP）块最近作为一种治疗术后疼痛的方法而出现。它可以在某种程度上避免使用静脉内阿片类镇痛药，从而避免其并发症。我们已经进行了一项前瞻性，双盲，随机研究，以评估在进行下腹部手术的患者中，在局部罗哌卡因中添加右美托咪定对TAP阻滞的镇痛效果。目的：目的是评估在罗哌卡因中添加右美托咪定是否可能对下腹部手术患者的TAP阻滞剂的镇痛效果有所改善。材料与方法：该研究是针对40位在全身麻醉下进行下腹部手术的患者进行的。将患者分为两组：一组在TAP阻断期间接受普通罗哌卡因（组1），另一组接受罗哌卡因与右美托咪定（组2）。比较两组患者的年龄，性别，体重指数，术后恶心发生率，呕吐和疼痛（以视觉模拟量表（VAS）进行测量）。结果：第2组的第1、3、6、12和18 h时，VAS的疼痛评分明显低于第1组。结论：在TAP阻断期间向罗哌卡因中添加右美托咪定可改善TAP阻断的镇痛作用，并延长止痛效果。镇痛的持续时间也是如此。关键词：右美托咪定，罗哌卡因，腹横肌平面阻滞，超声

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