腹横肌平面阻滞在产科加速康复中的应用价值

Application Value of Transverse Abdominal Plane Block in Accelerated Rehabilitation of Obstetrics

目的探讨腹横肌平面阻滞在产科加速康复中的应用价值.方法选择2019年1—12月于宿迁市妇产医院行剖宫产的50例产妇作为本次研究的对象,按照患者自愿将其分为两组,每组25例.对照组产妇实施单纯静脉镇痛,试验组产妇在此基础上实施腹横肌平面阻滞.比较两组疼痛评分(VAS)、首次进食时间、肛门排气时间、住院时间、产后单纯母乳喂养率、不良反应发生率.结果试验组产妇术后24 h内的VAS评分更低,首次进食时间、肛门排气时间、住院时间更短,产后单纯母乳喂养率更高,不良反应发生率更低,与对照组相比,差异均有统计学意义(P<0.05).结论在单纯静脉镇痛的基础上对剖宫产产妇采用腹横肌平面阻滞可以改善术后镇痛效果,增加产妇术后乳汁分泌量,减少产后并发症的发生,有利于产妇剖宫术后尽快恢复.

Objective To explore the application value transverse abdominis plane block in accelerated rehabilitation of obstetrics.Methods 50 parturients who underwent cesarean section in Suqian Obstetrics and Gynecology Hospital from January to December 2019 were selected as the subjects of this study.They were divided into two groups according to the patients'willingness,with 25 cases in each group.Women in the control group received simple intravenous analgesia,and on this basis,women in the experimental group received transverse abdominis plane block.The pain score(VAS),the time of first meal,the time of anal exhaustion,the time of hospitalization,the rate of postpartum breastfeeding and the incidence of adverse reactions were compared between the two groups.Results Compared with the control group,in the experimental group,the postpartum women’s VAS score was lower in 24 hours after operation,the time of first feeding,the time of anal exhaust,and the time of hospitalization were shorter,the rate of postpartum breastfeeding was higher,and the incidence of adverse reactions was lower,the differences were statistically significant(P<0.05).Conclusion On the basis of simple intravenous analgesia,transversus abdominis plane block can improve the postoperative analgesia effect,increase the postoperative milk secretion of the parturient,and reduce the occurrence of postpartum complications,which is conducive to the recovery of parturient women after cesarean section.