川北医学院学报2023，Vol.38Issue(12)：1647-1650,4.DOI:10.3969/j.issn.1005-3697.2023.12.014
双侧腹横肌筋膜阻滞对剖宫产术后临床效果的观察
Clinical effect of bilateral abdominal transversal fascia block on patients undergoing cesarean section
摘要
Abstract
Objective:To explore the effect of bilateral abdominal transversal fascia block on patients undergoing cesarean sec-tion.Methods:A total of 134 parturients who underwent cesarean section were selected and divided into groups by anesthesia:Group A(n =72)received intraspinal anesthesia,group B(n =62)received intraspinal anesthesia combined with bilateral transverse abdominal muscle fascia block.Postoperative pain sedation and recovery,analgesic drug use,uterine hemodynamic index and adverse reactions were compared between the two groups.Results:Compared with group A,the VAS score of group B at 6,12 and 24 h after surgery was decreased,the sedation score was increased,the time of first analgesic pump compression was increased,the number of analgesic pump compression and the dosage of sufentanil were decreased,and the time of getting out of bed,anal exhaust,first defecation and bowel sound returning to normal were shortened(P<0.05).Compared with pre-operation,the levels of PI,EDV and PSV were decreased and RI value was increased in the two groups after operation,the change range of group B was smaller than that of group A(P<0.05),and there was no difference in the occurrence of adverse reactions between the two groups(P>0.05).Conclusion:Intraspinal anesthesia combined with bilateral transverse abdominal muscle fascia block during cesarean section has good analgesic effect,can reduce the a-mount of analgesic drugs,the number of analgesic pump compression,improve postoperative clinical symptoms,and have good safety.关键词
椎管内麻醉/腹横肌筋膜阻滞/剖宫产/镇痛药物使用量/术后疼痛Key words
Intraspinal anesthesia/Transverse abdominis muscle fascia block/Cesarean section/Use of analgesic drugs/Postop-erative pain分类
医药卫生引用本文复制引用
张红军..双侧腹横肌筋膜阻滞对剖宫产术后临床效果的观察[J].川北医学院学报,2023,38(12):1647-1650,4.基金项目
四川省卫生健康委员会医学科技项目(21PJ147) （21PJ147）
