摘要
Abstract
Objective To explore the influence of Dexmedetomidine combined with Ropivacaine transversus abdominis plane block on postoperative analgesia effect and neonatal outcome in parturients with cesarean section.Methods A total of 120 parturients who underwent cesarean section surgery in the Second People's Hospital of Kashgar Prefecture from June 2022 to December 2023 were selected as the study objects.All the parturients were divided into two groups using the random number table method,with 60 cases in each group.The control group received Ropivacaine for transversus abdominis plane block,while the observation group combined with Dexmedetomidine on the basis of the control group.The analgesic effect,hemodynamics,neonatal outcomes,and incidence of adverse reactions were compared between the two groups.Results The visual analogue scale scores at 6,12,and 24 hours after surgery of the observation group were lower than those of the control group(P<0.05).The heart rate and mean arterial pressure at 10 minutes after anesthesia,fetal delivery,and completion of surgery in the observation group were lower than those in the control group(P<0.05).There were no statistically significant differences in the neonatal Apgar scores at 1 and 5 minutes after birth and total incidence of adverse reactions between the two groups(P>0.05).Conclusion The application of Dexmedetomidine combined with Ropivacaine transversus abdominis plane block in parturients with cesarean section can improve postoperative analgesia effect,stabilize hemodynamic indicators,has a small impact on neonatal outcomes,and does not increase adverse reactions.关键词
右美托咪定/罗哌卡因/腹横肌平面阻滞/剖宫产/镇痛效果/新生儿结局Key words
Dexmedetomidine/Ropivacaine/Transversus abdominis plane block/Cesarean section/Analgesic effect/Neonatal outcome分类
医药卫生
