Analysis of the Analgesic Effect of Ultrasound-Guided Transversus Abdominis Plane Block in Postoperative Pain Management After Laparoscopy for Gynecological Acute Abdomen
YANG Yong
YANG Changyong
Abstract：Objective This study aims to investigate the analgesic efficacy of ultrasound-guided trans-versus fascia plane block(TFB)in postoperative pain management for patients undergoing laparoscopic surgery for gynecological acute abdomen,and to compare its effects with those of transversus abdominis plane block(TAPB).Methods A retrospective study was conducted involving 94 patients who underwent laparoscopic surgery for gynecological acute abdomen at the People's Hospital of Yinjiang Tujia and Miao Autonomous Coun-ty from June 2023 to June 2024.Based on different postoperative analgesic regimens,the patients were divided into two groups:the observation group(ultrasound-guided TFB,47 cases)and the control group(ultrasound-guid-ed TAPB,47 cases).We compared postoperative pain levels,sedation levels,the frequency of patient-controlled analgesia(PCA)pump activations,the dosage of sufentanil administered,and the incidence of adverse reactions between the two groups.Results Compared to the control group,the observation group exhibited significantly lower visual analog scale(VAS)pain scores at 8,12,and 24 hours postoperatively(P＜0.001).There were no signif-icant differences in Ramsay sedation scores between the two groups at 8,12,and 24 hours postoperatively(P＞0.05).The observation group demonstrated fewer PCA pump activations at 4,8,12,and 24 hours postoperatively com-pared to the control group(P＜0.001).Additionally,the dosage of sufentanil used by the observation group was significantly lower at 4,8,12,and 24 hours postoper-atively compared to the control group(P＜0.001).The overall incidence of adverse reactions did not differ significantly between the two groups(P＞0.05).Conclusion Ultrasound-guided TAP block is more effective than ultrasound-guided TAM block in reducing pain severity and anesthetic drug consumption in patients undergoing laparoscopic surgery for gynecological acute abdomen.Furthermore,TAP block provides satisfactory sedation ef-fects and has a high safety profile,making it a technique worthy of promotion.
Keywords：Transversus abdominis muscle blockTransversus abdominis plane blockGynecologic acute abdomen
Publication Date：2025-02-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 177-180 )