Study On The Application Of General Anesthesia Combined With Ultrasound Guided Transversus Abdominis Plane Block Into Radical Resection Of Colorectal Cancer

ObjectiveTo discuss clinical application of combination general anesthesia and ultrasound guided TAPB under radical resection for colorectal cancer.MethodsChoose 102 colorectal cancer patients from May 2016 to October 2017 of Shando ng Cancer Hospital,divided into control group(C group)and test group(T group)rand omly.In the control group(group C),patients underwent radical resection of colorecta l cancer under general anesthesia.In the test group(T group),patients underwent radi cal resection of colorectal cancer under compound general anesthesia with ultrasound-g uided bilateral transverse abdominis plane block,after the induction of general anesthe sia,the lateral transverse abdominal muscle was blocked by ultrasound,the two sides were injected with 0.375% of ropivacaine hydrochloride 20 ml respectively,the radical resection of colorectal cancer was performed 15 minutes after the block of transverse abdominal muscles was completed.Records in the two groups patients duration of ane sthesia,operation duration,intraoperative propofol dosage,the dosage of intraoperative sufentanil,wake up of time,wake up instantly agitation score(SAS)and tracheal extu bation time,2 hours(t1)after operation,postoperative 24 hours(t2)of static and dyn amic NRS pain score,postoperative analgesia dosage sufentanil in 24 hours,short-term postoperative complications,and postoperative length of hospital stay.Data analysis b y SPSS 22.0 software,measurement data to mean ±standard deviation(`x + s),com pared with t test between groups,count data compared with chi-square test,P ? 0.05 shows the difference is statistically significant.ResultsThe clinical data of the two groups were comparable,and there was no statistical ly significant difference between the two groups(P?0.05).Compared with the control group(C group),the dosage of propofol and sufentanil were small in the experimental group(T group),and the difference was statistically significant(P?0.05).In the experi mental group(T group),the resuscitation time,immediate agitation score(SAS),the time of tracheal tube drawing were shortened,and the recovery quality was high,and t he difference was statistically significant(P?0.05).In the experimental group(T group),there was a statistically significant difference between 2 hours after surgery,24 hours after surgery,NRS pain score,and the low dosage of sufentanyl within 24 hours afte r surgery.ConclusionGeneral anesthesia compound transverse abdominal muscle plane block guided by ultrasound applied in colorectal cancer radical,can reduce the patients with intraoperati ve general anesthetics(intraoperative propofol dosage and intraoperative dosage sufenta nil),shortening the time of patients regained consciousness,reduce the patients to imm ediate agitation score(SAS),shorten the tracheal extubation time,improve the quality of patients with postoperative revival,reduce postoperative 2 hours,24 hours NRS(dy namic)pain score,reduce postoperative opioid analgesic drug dosage in 24 hours,imp rove comfort,perioperative period in patients with has a tendency to shorten the posto perative hospital stay...