[1]徐莉.B超引导下腹横肌平面阻滞用于全麻剖宫产术后 镇痛效果观察[J].中国计划生育和妇产科,2017,(3):42-45.
　XU Li.Ultrasound-guided transversus abdominis plane block for postoperative analgesia in cesarean delivery under general anesthesia[J].Chinese Journal of Family Planning & Gynecotokology,2017,(3):42-45.
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B超引导下腹横肌平面阻滞用于全麻剖宫产术后 镇痛效果观察
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2017年3期
页码:
42-45
栏目:
论著与临床
出版日期:
2017-03-25

文章信息/Info

Title:
Ultrasound-guided transversus abdominis plane block for postoperative analgesia in cesarean delivery under general anesthesia
作者:
徐莉
成都市妇女儿童中心医院麻醉科
Author(s):
XU Li
Department of Anesthesiology, Chengdu Women and Children’s Central Hospital, Chengdu Sichuan 610099, P. R. China
关键词:
腹横肌平面阻滞; 超声; 剖宫产; 术后镇痛
Keywords:
transversus abdominis plane block ; ultrasound; cesarean delivery; postoperative analgesia
分类号:
R 6143
摘要:
目的观察B超引导下腹横肌平面(transversus abdominis plane，TAP)阻滞联合自控静脉镇痛（patient controlled intravenous analgesia，PCIA）用于全麻剖宫产术后镇痛的效果。方法选择2016年3~6月在成都市妇女儿童中心医院全麻下行剖宫产的60例产妇,根据随机数字表法均分为两组：腹横肌平面阻滞组（TP组）和对照组（PC组），TP组手术结束时在B超引导下行双侧TAP阻滞,每侧注射0375 %盐酸罗哌卡因20 mL，PC组产妇不给予TAP阻滞。两组产妇均给予PCIA。记录术后2 h、6 h、12 h、24 h和48 h静息和运动时疼痛视觉模拟评分（visual analogue scale，VAS）、舒适度评分（Bruggrmann comfort scale,BCS）；记录术后24 h镇痛泵按压次数、舒芬太尼用量；记录镇痛满意度以及不良反应。结果TP组术后2 h、6 h和12 h静息、运动时VAS评分明显降低，术后2 h、6 h、12 h和24 h BCS评分明显升高（P＜005）。TP组术后24 h镇痛泵按压次数明显降低，术后24 h舒芬太尼总用量低于PC组（P＜005）。TP组镇痛满意度高于PC组（P＜005）。结论B超引导下TAP阻滞联合PCIA减轻了全麻下剖宫产产妇术后疼痛程度，减少了术后舒芬太尼的用药量，产妇舒适度、满意度高。
Abstract:
ObjectiveTo observe the efficacy of ultrasound-guided transversus abdominis plane(TAP) block for postoperative analgesia in cesarean delivery under general anesthesia. Methods60 parturients scheduled for cesarean delivery under general anesthesia at Chengdu Women and Children’s Central Hospital from March 2016 to June 2016 were randomly divided into TAP group (group TP) and control group(group PC) （n=30 each）. After cesarean delivery, bilateral of ultrasound-guided TAP block were performed, 20mL of 0375% ropivacaine was injected in each side in group TP, while TAP was not done in group PC. Both groups received patient- controlled intravenous analgesia(PCIA) after cesarean delivery. The resting and exercise visual analogue scale(VAS) scores and the Bruggrmann comfort scale(BCS) scores were evaluated at 2h,6h,12h,24h and 48h after operation. The consumption of sufentanil within 24h after operation were recorded. The parturients satisfaction and the adverse reactions were also recorded. ResultsThe consumption of sufentanil within 24h after operation, the resting and exercise VAS scores at 2h,6h,12 h after operation in group TP were significantly lower than those in group PC（P＜005）. The BCS score 2h,6h,12h,24h after operation and the degree of satisfaction were higher in group TP than those in group PC（P＜005）. There were no adverse reactions in both groups. ConclusionUltrasound-guided TAP block combined with PCIA reduces the postoperative sufentanil consumption, enhances the efficacy of post-cesarean analgesia of the parturients under general anesthesia, with good maternal comfort and satisfaction.

参考文献/References:

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更新日期/Last Update: 2017-03-25