| 邬薇薇,程高,陈琛,等.静脉全麻复合腹横肌平面阻滞对中年经腹全子宫切除术病人围术期注意网络的影响[J].安徽医药,2020,24(8):1521-1524. |
| 静脉全麻复合腹横肌平面阻滞对中年经腹全子宫切除术病人围术期注意网络的影响 |
| Effect oftotal intravenous anesthesia combined with transverse abdominal plane block on individual attention network in the middle?aged women undergoing transabdominal hysterectomy |
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| DOI：10.3969/j.issn.1009?6469.2020.08.010 |
| 中文关键词: 子宫切除术 /心理学 麻醉，静脉 认知 自主神经传导阻滞 定向(心理学) 执行功能 中年人 腹横肌平面阻滞 注意网络测试 |
| 英文关键词: Hysterectomy/psychology Anesthesia,intravenous Cognition Autonomic nerve block Set(psychology) Executive function Middle aged Transverse abdominal plane block Attention network test |
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| 中文摘要: |
| 目的探讨静脉全麻复合腹横肌平面阻滞(TAPB)对中年经腹全子宫切除术病人围术期注意网络的影响。方法选取安徽医科大学第四附属医院 2015年 12月至 2018年 12月行经腹全子宫切除术病人 60例，采用随机数字表法分为静脉全麻复合腹横肌平面阻滞组(TG组)和静脉全麻对照组(G组)，每组各 30例。应用注意网络测试(ANT)比较两组术后 1d、5d与术前 3个子网络(警觉、定向、执行控制)的效率。结果与术前相比，术后 1d两组病人警觉、定向和执行控制网络效率差异有统计学意义(P＜0.05)；术后 5d，G组警觉［(40.6±5.6)ms比(44.9±6.1)ms］和执行控制［(146.8±22.3)ms比(127.7±23.0)ms］网络差异有统计学意义(P＜0.05)； TG组定向、警觉和执行控制网络效率差异无统计学意义。与 G组比较，术后 1dTG组警觉［(39.4±5.2)ms比(32.7±7.5)ms］、定向［(44.2±7.8)ms比(40.2±6.8)ms］和执行控制［(141.2±28.8)ms比(168.2±29.7)ms］网络效率差异有统计学意义(P＜0.05)；术后 5dTG组警觉［(44.1±5.3)ms比(40.6±5.6)ms］和执行控制［(133.6±23.3)ms比(146.8±22.3)ms］网络效率比较差异有统计学意义(P＜0.05)。结论全身麻醉和手术对中年经腹全子宫切除术病人注意网络功能有明显损害，尤其是警觉和执行控制网络效率，静脉全麻复合 TAPB可以明显的减轻中年经腹全子宫切除术病人围术期注意网络的损害。 |
| 英文摘要: |
| Objective To evaluate the effect of total intravenous anesthesia combined with transverse abdominal plane blockon indi?vidual attention network in the middle?aged women undergoing transabdominal hysterectomy.Methods Sixty middle?aged patients(40?60 years old)undergoing transabdominal hysterectomy in the Fourth Affiliated Hospital of Anhui Medical Universityfrom De?cember 2015 to December 2018wereselected and randomly assigned into 2 groups using a random number table:TAPB combined with total intravenous anesthesia group(n＝30，TG group)and total intravenous anesthesia group(n＝30，G group).Attention Net? work Test(ANT)was used to compare the efficiency of the threesubnetworks，including alerting，orienting and executive control，at? preoperative，1day and 5dayafter operation between the two groups.Results There was a statistically significant difference in alert? ness，orientation，and executive control network efficiency between the two groups of patients on1 day after operation compared withthose before the operation(P＜0.05).There was a statistically significant difference in alertness［(40.6±5.6)ms vs.(44.9±6.1)ms］， and executive controlnetwork efficiency［(146.8±22.3)ms vs.(127.7±23.0)ms］of G group at 5 day after operation(P＜0.05). There was no statistical difference in orientation，alertness，and executive control network efficiency significanceof TG group.Com? pared with G group，there were significant differences in alertness［(39.4±5.2)ms vs.(32.7±7.5)ms］，orientation［(44.2±7.8)ms vs.(40.2±6.8)ms］，executive controlnetwork efficiency［(141.2±28.8)ms vs.(168.2±29.7)ms］ofTG group on day 1 after opera?tion(P＜0.05)and there were significant differences in alertness［(44.1±5.3)ms vs.(40.6±5.6)ms］，executive control［(133.6± 23.3)ms vs.6.8±22.3)ms］of TG grouponday 5 after operation(P＜0.05).Conclusion Both general anesthesia and operation could impair the network functionof middle?aged patients undergoing total hysterectomy，especially the efficiency of alerting and ex?(14，ecutive control.Totalintravenous anesthesiacombined with TAPBcould reduce the perioperative attention network damage in middle?aged patients undergoing total abdominal hysterectomy. |
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