Furuya Atsushi, Ikemoto Kodai, Asano Nobumasa, Tamaki Fumimasa, Suzuki Satomi, Nonaka Akihiko
Department of Anesthesiology, Yamanashi Prefectural Central Hospital, Kofu 400-8506.
Masui. 2013 Sep;62(9):1106-11.
We retrospectively reviewed intraoperative hemodynamics, infusion volume, urinary output and dose of circulatory drugs in patients undergoing cholecystectomy in 3 types of anesthesia group: General anesthesia (GA group), general anesthesia with epidural anesthesia (EPI group) and general anesthesia with transversus abdominis plane (TAP) block (TAPB group). TAP block was performed using ultrasound-guided subcostal method and 20-30 ml of ropivacaine (0.2-0.3%) was injected to TAP bilaterally. Though, the blood pressure in TAPB group was lower than that in GA group, the degree of low blood pressure was smaller than that in EPI group. Less changes in intraoperative blood pressure, infusion volume and dose of phenylephrine in TAPB group compared to those in EPI group can be the advantage of TAP block alternative to epidural anesthesia.
我们回顾性分析了接受胆囊切除术的患者在3种麻醉方式下的术中血流动力学、输液量、尿量及血管活性药物剂量，这3种麻醉方式分别为：全身麻醉（GA组）、全身麻醉联合硬膜外麻醉（EPI组）和全身麻醉联合腹横肌平面（TAP）阻滞（TAPB组）。TAP阻滞采用超声引导肋下法，双侧TAP注射20 - 30 ml罗哌卡因（0.2 - 0.3%）。虽然TAPB组的血压低于GA组，但低血压程度小于EPI组。与EPI组相比，TAPB组术中血压、输液量及去氧肾上腺素剂量变化较小，这可能是TAP阻滞替代硬膜外麻醉的优势所在。
