摘要
目的:研究B超引导下连续腹横肌平面阻滞在剖宫产术后镇痛的效果。方法:选取剖宫产术患者80例,随机分为硬膜外PCA组及腹横肌平面阻滞组,硬膜外PCA组接硬膜外术后镇痛泵,腹横肌平面阻滞组在B超引导下行腹横肌阻滞并置管接镇痛泵行连续镇痛。对比视觉模拟评分,阿片药物辅助镇痛的次数、恶心,呕吐发生率、排尿时间,早期下床时间以及住院时间。结果:腹横肌平面阻滞组视觉模拟评分,阿片药物辅助镇痛的次数、恶心,呕吐发生率、排尿时间,早期下床时间以及住院时间优于硬膜外PCA组(P<0.05)。结论:剖宫产术后实施B超引导下行腹横肌阻滞并置管接镇痛泵行连续镇痛可以改善疼痛指标,降低阿片药物辅助镇痛的次数、恶心,呕吐发生率,缩短排尿时间,早期下床时间以及住院时间。
Objective:To study the analgesic effect of continuous transverse abdominis plane block under ultrasound guidance after cesarean section.Method:Eighty patients undergoing cesarean section were selected and randomly divided into PCEA group and TAP group.The PCEA group received postoperative epidural analgesia pump,while the TAP group received continuous analgesia through abdominal transverse muscle block and tube connection under ultrasound guidance.Compare VAS scores,frequency of opioid assisted analgesia,incidence of nausea and vomiting,duration of urination,early time to get out of bed,and length of hospital stay.Result:The VAS score,frequency of opioid assisted analgesia,incidence of nausea and vomiting,urination time,early bed time,and hospital stay in the TAP group were better than those in the PCEA group(P<0.05).Conclusion:After cesarean section,implementing B-ultrasound guided transverse abdominal muscle block and placing a tube connected to an analgesic pump for continuous analgesia can improve pain indicators,reduce the frequency of opioid assisted analgesia,incidence of nausea and vomiting,shorten urination time,early bed time,and hospital stay.
作者
陈本然
陈宁
苏萍
Chen Benran;Chen Ning;Su Ping(Anesthesiology Department,Liupanshui Maternal and Child Health Hospital,Guizhou Province,Postal Code,Liupanshui Guizhou 553000,China)
出处
《中外女性健康研究》
2024年第1期84-86,共3页
Women＇s Health Research
基金
六盘水市科技计划项目合同书,编号:52020-2020-0-2-15。
关键词
B超引导
连续腹横肌平面阻滞
剖宫产
术后镇痛
B-ultrasound guidance
Continuous transverse abdominal plane block
Cesarean section
Postoperative analgesia
