{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T21:01:20Z","timestamp":1789678880105,"version":"4.0.1"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,12,8]],"date-time":"2021-12-08T00:00:00Z","timestamp":1638921600000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ibrain"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Patient\u2010controlled intravenous analgesia is one of the most common pain relief methods in\u00a0 the postoperative period, but its adverse reactions remain high. This study aimed to explore the role of improved combined analgesia methods in pain, sedation, postoperative nausea, and vomiting (PONV) in patients undergoing gynecological surgeries. This study was a prospective, randomized, double\u2010blind controlled study. A study population of 72 patients undergoing gynecological surgery were randomly assigned to either the TAPB\u2009+\u2009S group or the TAPB\u2009+\u2009N group. All patients in both groups underwent a transversus abdominis plane block (TAPB) after induction of anesthesia. The TAPB\u2009+\u2009S group received a continuous intravenous infusion (2\u2009ml\/h) of sufentanil (1\u2009\u03bcg\/kg) plus metoclopramide (30\u2009mg) through 100\u2009ml elastomeric pumps postoperatively. The TAPB\u2009+\u2009N group received a continuous intravenous infusion (2\u2009ml\/h) of nalbuphine hydrochloride (1\u2009mg\/kg) plus metoclopramide (30\u2009mg) postoperatively. The main outcome measures were as follows: postoperative pain intensity, Ramsay sedation score (RSS) after surgery, PONV occurrence rate, and rescue analgesics. The RSS of the TAPB\u2009+\u2009S group was significantly higher than that of the TAPB\u2009+\u2009N group at 2, 4, and 6\u2009h after the operation. However, the visual analog scale score of the TAPB\u2009+\u2009S group was much higher than that of the TAPB\u2009+\u2009N group. No significant differences were found between the two groups in terms of consumption of opioids and other narcotic drugs at 2, 4, 6, 24, and 48\u2009h after the operation. No statistically significant differences were found with respect to PONV and other adverse events in both groups. Taken together, our data indicate that the TAPB\u2009+\u2009N program can provide better postoperative analgesia and also reduce the use of strong opioids. The more optimized scheme of perioperative analgesia still needs to be researched further.<\/jats:p>","DOI":"10.1002\/ibra.12002","type":"journal-article","created":{"date-parts":[[2021,12,8]],"date-time":"2021-12-08T13:41:52Z","timestamp":1638970912000},"page":"278-287","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effects of modified multimodal analgesia on postoperative pain, sedation, and prognosis of gynecological patients"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8533-2033","authenticated-orcid":false,"given":"Fan","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Anesthesiology Affiliated Hospital of Zunyi Medical University  Zunyi Guizhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Man","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Affiliated Hospital of Zunyi Medical 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