李松泽 黄泽清

    [摘要] 目的 研究不同鎮痛方法对腹部手术后慢性疼痛以及夜间睡眠质量的影响。 方法 选择2017年1月～2018年1月在中国医科大学肿瘤医院，辽宁省肿瘤医院进行腹腔手术的患者109例。本研究为回顾性研究，按照术后镇痛方法将患者分为硬膜外患者自控镇痛组(PCEA组)和超声引导下腹横纹肌平面(TAP)阻滞联合静脉内PCA(PCIA)组(PCIA+TAP组)。其中PCEA组50例，PCIA+TAP组59例。术后PCEA组留硬膜外导管进行PCEA，PCIA+TAP组进行TAP阻滞，并连接静脉镇痛泵。检测患者术后急性和慢性疼痛情况，睡眠质量和炎性因子水平。 结果 术后24 h，PCIA+TAP组患者视觉模拟评分(VAS)低于PCEA组(P 0.05)。结论 TAP阻滞联合PCIA用于腹部手术术后急性疼痛镇痛效果佳，还能有效减轻患者CPSP，改善患者睡眠质量，提高患者生活质量。

    [关键词] 慢性疼痛；硬膜外；超声引导；腹横肌筋膜阻滞

    [中图分类号] R614 [文献标识码] A [文章编号] 1673-7210(2019)05(a)-0107-05

    Effects of different analgesic methods on chronic pain and sleep quality after abdominal surgery

    LI Songze HUANG Zeqing

    Department of Anesthesiology， Cancer Hospital of China Medical University， Liaoning Cancer Hospital and Institute， Liaoning Province， Shenyang 110042， China

    [Abstract] Objective To study the effects of different analgesic methods on chronic pain and nighttime sleep quality after abdominal surgery. Methods A total of 109 patients who underwent abdominal surgery in Cancer Hospital of China Medical University， Liaoning Cancer Hospital and Institute from January 2017 to January 2018 were enrolled. This study was a retrospective study in which patients were divided into a patient-controlled epidural analgesia (PCEA) group and an ultrasound-guided transversus abdominis plane (TAP) according to postoperative analgesia. PCA (Patient-controlled intravenous analgesia ......