关键词: 腹横肌平面阻滞, 快速康复外科, 腹式全子宫切除术

Abstract: ［Abstract］ Objective To investigate the application of the transversus abdominis planeblock（TAPb） in surgery of total abdominal hysterectomy. Methods Fifty patients were divided into two groups （n=25）：the transverse abdominal planar block （TAPb group） and the control group. After intubation，B-ultrasonically guided bilateral transverse abdominal plane block were performed，while TAPb was not done in control group. Both groups received patient?controlled intravenous analgesia after operation. The differences in monitoring indicators were compared between the two groups. Results The awake time，postoperative VAS score，the exhaust time，the first time of getting up and the time of hospitalization of the patients in the TAP group were significantly lower than those in the control group. Conclusion Transversus abdominis plane block （TAPb） in the open hysterectomy can provide fast anesthesia recovery in patients with，and less postoperative pain，early ambulation and reduce the time of hospital stay.

Key words: total abdominal hysterectomy, enhanced recovery after surgery, transversus abdominis plane block