Volume 19 Issue 5
May  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(5): 740-744
GE Yan-yan, SHI Chao, TAO Jing, FANG Shi-wei, LIU Lei, LIANG Qi-sheng. Effect of ultrasound-guided transverse abdominal plane block on postoperative analgesia and early attention network in elderly patients with abdominal radical hysterectomy[J]. Chinese Journal of General Practice, 2021, 19(5): 740-744. doi: 10.16766/j.cnki.issn.1674-4152.001905
Citation: GE Yan-yan, SHI Chao, TAO Jing, FANG Shi-wei, LIU Lei, LIANG Qi-sheng. Effect of ultrasound-guided transverse abdominal plane block on postoperative analgesia and early attention network in elderly patients with abdominal radical hysterectomy[J]. Chinese Journal of General Practice, 2021, 19(5): 740-744. doi: 10.16766/j.cnki.issn.1674-4152.001905
shu

Effect of ultrasound-guided transverse abdominal plane block on postoperative analgesia and early attention network in elderly patients with abdominal radical hysterectomy

doi: 10.16766/j.cnki.issn.1674-4152.001905
  • 1.

    Department of Anesthesiology, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

 1804h08020280

  • Received Date: 2020-09-11
    Available Online: 2022-02-16
    Abstract
  •   Objective  This study aimed to investigate the effects of ultrasound-guided transverse abdominal plane block (TAP) on postoperative analgesia and early attention network in elderly patients undergoing radical abdominal cervical cancer.   Methods  A total of 60 elderly patients with cervical cancer undergoing radical laparotomy in the First Affiliated Hospital of Bengbu Medical College from October 2018 to December 2019 were selected and divided into two groups using the anaesthesia method. After induction of general anaesthesia, the observation group (group T) was treated with bilateral TAP block and general anaesthesia under ultrasonic guidance before skin resection, whereas the control group (group C) was treated with simple general anaesthesia. Both groups were measured by the Attention Network Test and observed before anaesthesia induction. The skin was cut instantly, and 5 min before extubation and 30 min after extubation, MAP, HR and SpO2 indices were calculated. Intraoperative opioid dosage; postoperative 24, 48 and 72 h visual analogue scale method score; preoperative and postoperative 1 day and 5 day attention network efficiency; postoperative nausea, vomiting, dizziness sleepiness and incidence of adverse reactions; and patient's satisfaction were compared.   Results  MAP and HR of group C were higher than those of group T at each time point (all P < 0.05). The amount of opioids in group T was less than that in group C (P < 0.05); VAS score of group T was lower than that of group C at each time point (P < 0.05). Alertness, orientation, executive control, mean reaction time and accuracy were all impaired 1 day after operation (all P < 0.001). On the fifth day after operation, attention network efficiency of T group was restored (P < 0.05), and orientation (P=0.323) and mean reaction time (P=0.256) of the C group were restored, but alertness (P < 0.001), executive control (P < 0.001) and accuracy (P=0.014) were not restored. The T group had fewer adverse reactions and higher patient satisfaction that the C group.   Conclusion  Ultrasound-guided transverse abdominal plane block can alleviate postoperative pain and early attention network damage in elderly patients undergoing radical abdominal cervical cancer.

     

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    • References(18)
  • [1]
    MD C P W, MPH Z R, PHD D B P, et al. Cancer statistics in China, 2015[J]. CA Cancer J Clin 2016, 66(2): 115-132. doi: 10.3322/caac.21338
    [2]
    中华医学会妇科肿瘤学分会. 宫颈癌微创手术的中国专家共识[J]. 现代妇产科进展, 2019, 28(11): 801-803. https://www.cnki.com.cn/Article/CJFDTOTAL-XDFC201911001.htm
    [3]
    ANDROSOVA G, KRAUSE R, WINTERER G, et al. Biomarkers of postoperative delirium and cognitive dysfunction[J]. Front Aging Neurosci, 2015, 7: 112. http://edoc.mdc-berlin.de/14878/1/14878oa.pdf
    [4]
    POSNER M I, PETERSEN S E. The attention system of the human brain[J]. Annu Rev Neurosci, 1990, 13: 25-42. doi: 10.1146/annurev.ne.13.030190.000325
    [5]
    FAN J, MCCANDLISSN B D, SOMMER T, et al. Testing the efficiency and independence of attentional networks[J]. J Cogn Neurosic, 2002, 14(3): 340-347. doi: 10.1162/089892902317361886
    [6]
    MORIYA J. Attentional networks and visuospatial working memory capacity in social anxiety[J]. Cogn Emot, 2018, 32(1): 158-166. doi: 10.1080/02699931.2016.1263601
    [7]
    LANNOY S, HEEREN A, MOYAERTS N, et al. Differential impairments across attentional networks in binge drinking[J]. Psychopharmacology(Berl), 2017, 234(7): 1059-1068. doi: 10.1007/s00213-017-4538-4
    [8]
    FILARDI M, PIZZA F, TONETTI L, et al. Attention impairments and ADHD symptoms in adult narcoleptic patients with and without hypocretin deficiency[J]. PLoS One, 2017, 12(8): e0182085. doi: 10.1371/journal.pone.0182085
    [9]
    SCHAEFER S T, KOENIGSPERGER S, OLOTU C, et al. Biomarkers and postoperative cognitive function: could it be that easy?[J]. Curr Opin Anaesthesiol, 2019, 32(1): 92-100. doi: 10.1097/ACO.0000000000000676
    [10]
    刘峰, 何宋兵, 郭兴坡, 等. 腹腔镜手术与传统开腹手术对老年结肠癌患者术后生理应激及凝血、认知功能和炎症因子的影响[J]. 中国老年学杂志, 2018, 38(2): 342-344. doi: 10.3969/j.issn.1005-9202.2018.02.036
    [11]
    DE COSMO G, SESSA F, FIORINI F, et al. Effect of remifentanil and fentanyl on postoperative cognitive function and cytokines level in elderly patients undergoing major abdominal surgery[J]. J Clin Anesth, 2016, 35: 40-46. doi: 10.1016/j.jclinane.2016.07.016
    [12]
    KOTEKAR N, SHENKAR A, NAGARAJ R. Postoperative cognitive dysfunction-current preventive strategies[J]. Clin Interv Aging, 2018, 13: 2267-2273. doi: 10.2147/CIA.S133896
    [13]
    PAPPA M, THEODOSIADIS N, TSOUNIS A, et al. Pathogenesis and treatment of post-operative cognitive dysfunction[J]. Electron Physician, 2017, 9(2): 3768-3775. doi: 10.19082/3768
    [14]
    夏俊伟, 吴茜, 张霜, 等. 全髋关节置换术患者延迟出院的危险因素分析[J]. 临床麻醉学杂志, 2020, 36(4): 354-358. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMZ202004011.htm
    [15]
    李向南, 蔚冬冬, 李建立, 等. 腹横肌平面阻滞联合全身麻醉用于腹腔镜手术老年患者的改良效果[J]. 中华麻醉学杂志, 2018, 38(2): 177-180. doi: 10.3760/cma.j.issn.0254-1416.2018.02.012
    [16]
    PATEL D, LUNN A D, SMITH A D, et al. Cognitive decline in the elderly after surgery and anaesthesia: results from the Oxford Project to Investigate Memory and Ageing (OPTIMA) cohort[J]. Anaesthesia, 2016, 71(10): 1144-1152. doi: 10.1111/anae.13571
    [17]
    ELSHAMAA H A. Stress response in shoulder surgery under interscalene block, randomized controlled study comparing ultrasound guidance to nerve stimulation[J]. Saudi J Anaesth, 2015, 9(4): 359-364. doi: 10.4103/1658-354X.159454
    [18]
    KRISTEK G, RADOSŠI, KRISTEK D, et al. Influence of postoperative analgesia on systemic inflammatory response and postoperative cognitive dysfunction after femoral fractures surgery: a randomized controlled trial[J]. Reg Anesth Pain Med, 2019, 44(1): 59-68. doi: 10.1136/rapm-2018-000023
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