ObjectiveTo investigate the effect of transversus abdominis plane(TAP) block combined with general anesthesia on postoperative early recovery and analgesia in the patients undergoing gynecologic laparoscopy. MethodsForty patients undergoing selective gynecologic laparoscopy with general anesthesia were randomly divided into TAP group(group T) and control group(group C), with 20 cases in each group. Ultrasound-guided bilateral TAP block were performed after anesthesia induction then 30ml of 0.33% ropivacaine was injected in each side in group T. And injection of normal saline with same volume was performed in group C. The fentanil consumption during operation, durations for postoperative recovery, tracheal catheter removal and gastrointestinal function recovery were recorded. The scores of visual analogue scale(VAS) at 2h,12h and 24 h after operation and the incidence of postoperative nausea and vomiting(PONV) were evaluated and recorded. ResultsCompared with group C，the fentanil consumption during operation, durations for postoperative recovery and tracheal catheter removal, the incident rate of PONV, and VAS scores at 2h and 12h after operation significantly decreased in group T(all P＜0.05). There was no significant difference in the duration for gastrointestinal function recovery between the two groups. ConclusionCompared with total intravenous anesthesia, TAP block combined with general anesthesia can significantly reduce fentanil consumption in the patients undergoing gynecologic laparoscopy, can improve the efficacy of recovery and analgesia and is helpful for the application of fast-track surgery.

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