超声引导下腹横肌平面阻滞对全麻剖宫产术后镇痛效果的影响被引量：6

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摘要目的观察超声引导下腹横肌平面(TAP)阻滞联合患者自控静脉镇痛(PCIA)在全麻剖宫产术后的镇痛效果。方法 60例全麻剖宫产手术的患者,随机分成两组:S组患者术后镇痛仅使用舒芬太尼100μg行PCIA,ST组采用舒芬太尼100μg行PCIA+术毕超声引导下TAP阻滞;记录患者术后1h(T1)、6h(T2)、12h(T3)、24h(T4)、36h(T5)、48h(T6)的安静和运动时视觉模拟疼痛评分(VAS),患者镇痛效果的整体满意度,48h镇痛泵按压次数,舒芬太尼用量以及使用双氯芬酸钠栓的例数,观察术后阴道流血量以及恶心呕吐、皮肤瘙痒、呼吸抑制等不良反应的发生情况。结果与S组比较,ST组T1、T2、T3时点安静和运动时VAS评分均降低(P<0.05),镇痛泵按压次数、舒芬太尼用量以及双氯芬酸钠栓给药次数均减少(P<0.05),术后整体满意度较高(P<0.05)。两组产妇术后阴道流血量以及恶心呕吐等不良反应发生率差异无统计学意义。结论全麻剖宫产术术毕应用TAP阻滞可以增强PCIA镇痛效果,减少PCIA药物用量,提高患者的镇痛满意度,并且不增加不良反应。

作者谢在斌

机构地区福建省龙岩人民医院麻醉科

出处《福建医药杂志》 CAS 2018年第4期79-81,共3页 Fujian Medical Journal

关键词超声引导腹横肌平面阻滞全麻剖宫产静脉自控镇痛

分类号 R614.4 [医药卫生—麻醉学]

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2黄天丰,高巨,方向志,张扬,葛亚丽,王存金.腹横肌平面阻滞用于剖宫产术后镇痛的效果评价：Meta分析[J].国际麻醉学与复苏杂志,2016,37(5):407-411. 被引量：12
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