超声引导下双侧腹横肌置管连续阻滞对剖腹产术后镇痛的研究

Study on Ultrasound-Guided Bilateral Transversus Abdominis Continuous Cannulation Block for Analgesia After Cesarean Section

目的探讨超声引导下双侧腹横肌置管连续阻滞在剖腹产术后镇痛的临床应用效果。方法选取我院2017年1月至2018年1月的100例行剖腹产术患者作为研究对象,随机分为对照组和研究组各50例,对照组术毕予自控硬膜外镇痛,研究组术毕予超声引导下双侧腹横肌置管连续阻滞镇痛。比较两组患者的BCS舒适度评分、视觉模拟疼痛(VAS)评分、镇痛泵按压次数、镇痛药物使用量、不良反应以及满意度。结果研究组患者术后2 h、术后6 h的BCS舒适度评分均显著高于对照组,VAS评分均显著低于对照组(P<0.05)。研究组的镇痛泵按压次数以及镇痛药物使用量均显著低于对照组(P<0.05)。研究组的不良反应发生率显著低于对照组,患者满意度显著高于对照组(P<0.05)。结论超声引导下双侧腹横肌置管连续阻滞在剖腹产术后镇痛中具有良好的镇痛效果,可提高患者满意度,降低镇痛药物使用量及不良反应发生率。

Objective To investigate the clinical application effect of ultrasound-guided bilateral transversus abdominis continuouscannulation block for analgesia after cesarean section. Methods A total of 100 cases of cesarean section patients in our hospital from January 2017 to January 2018 were selected as research objects, and randomly divided into the control group and study group, with 50 cases in each group. The control group was treated with patient-controlled epidural analgesia, and the study group underwent ultrasound-guided bilateral transversus abdominis continuous cannulation block. The BCS comfort score, visual analogue scale pain （ VAS） score, the number of presses of analgesia pump, dosage of analgesics, adverse reactions and patients＇ satisfaction degree were compared between the two groups. Results 2 h and 6 h after operation, the BCS comfort scores ofthe study group were significantly higher than those of the control group, and the VAS scores were significantly lower than those of the control group （P 〈0.05）. The number of presses of analgesia pump and dosage of analgesics of the study group were significantly lower than those of the control group （P 〈0.05）. The incidence of adverse reactions of the study group was significantly lower than that of the control group, and the patients＇ satisfaction degree was significantly higher than that of the control group （P 〈0.05）. Conclusions Ultrasound-guided bilateral transversus abdominis continuous cannulation block has good analgesic effect in postoperative analgesia of cesarean section, which can improve patients＇ satisfaction degree, and reduce the dosage of analgesics and the incidence of adverse reactions.