Effect Of Ultrasound-Guided Transversus Abdominis Plane Block On Early Postoperative Recovery Quality In Patients With Open Abdominal Hysterectomy

Objective:To investigate the effect of ultrasound-guided Transversus abdominis plane(TAP)block on early postoperative recovery quality of patients undergoing open abdominal hysterectomy in fast-track surgery(FTS)mode.Methods:A total of 80 patients undergoing open abdominal hysterectomy under general anesthesia were selected.According to the random number table method,it was divided into test group(T group)and control group(C group),40 cases in each group.During the perioperative period,the two groups were treated with FTS mode.The T group underwent ultrasound-guided bilateral TAP block after anesthesia,and the C group did not undergo TAP block.Both groups were given a patient-controlled intravenous analgesia(PCIA)after surgery.The results of Visual Analogue Scale(VAS)scores of the two groups were recorded at 12 hours before surgery,6 hours,12 hours,18 hours,24 hours and 36 hours after operation.The first PCIA use time and the cumulative use of PCIA drugs at 24 hours postoperatively were recorded in both groups.The time of first exhaust,defecation and getting out of bed,and the incidence of postoperative adverse reactions were recorded.The 15-item Quailty of recovery(QoR-15)scores were recorded and analyzed at 24 hours before surgery,24 hours,48 hours,and 72 hours after surgery.Results:Compared with group C,the VAS scores of patients in group T decreased at 6 h,12 h,18 h and 24 h after operation(P<0.05).The time of first press of PCIA pump in group T was delayed(P<0.05).And in group T,the cumulative use of PCIA drugs 24 hours after surgery was reduced(P<0.05).The time of first exhaust,defecation and getting out of bed in group T was advanced(P<0.05).and the score of QoR-15 was increased at 24 h,48 h,72 h after operation in group T(P<0.05).And the incidence of adverse reactions to dizziness,nausea,and vomiting was reduced in the T group.(P<0.05).Conclusion:Preoperative ultrasound-guided TAP block can reduce the degree of postoperative pain,reduce the amount of opioids used,and the incidence of postoperative adverse reactions.It can promote the early recovery of intestinal function and early bed-out activities,and improve the early recovery quality of patients.It can further enhance the implementation of the FTS treatment model and is worth promoting.