超声引导腹横肌平面阻滞在剖宫产术后镇痛的临床应用

Clinical Application of Ultrasound Guided Transversus Abdominis Plane Block Analgesia after Cesarean Section

目的:探讨超声引导腹横肌平面(TAP)阻滞在剖宫产术后镇痛的临床应用。方法:行剖宫产患者100例患者随机分为观察组和对照组,各50例,对照组采用单纯的经静脉患者自控镇痛(PCIA)治疗方法,观察组采用TAP和PCIA结合的治疗方法,对比两组治疗效果。结果:观察组患者在术后6h、12h、24h的疼痛评分显著低于对照组,P<0.05;观察组患者镇痛相关并发症显著少于对照组,P<0.05。结论:TAP联合PICA能有效改善剖宫产术后疼痛,镇痛效果显著。

Objective： To investigate the ultrasound guided transversus abdominis plane（TAP） clinical application of analgesia after cesarean section.Methods： Cesarean section patients with 100 cases of patients were randomly divided into into the observation group and the control group,50 cases in each,while the control group was treated with simple patient controlled intravenous analgesia（PCIA） treatment,the observation group using combined with tap and PCIA treatment,compared to two groups of therapeutic effect.Results： The pain scores of 6h,12h and 24 h in the observation group were significantly lower than that in the control group,P〈0.05,the observation group were significantly less than the control group,P〈0.05.Conclusion： TAP combined with PICA can effectively improve the postoperative pain and analgesic effect of cesarean section.