B超引导下双侧腹横筋膜阻滞复合腰硬联合麻醉对剖宫产手术患者的影响分析

Effect Analysis of Bilateral Transverse Fascial Block Combined with Lumbar Epidural Anesthesia Under B-Ultrasound Guidance on Patients with Cesarean Section Surgery

目的在剖宫产手术产妇中应用B超引导双侧腹横筋膜阻滞复合腰硬联合麻醉,分析该麻醉模式所获取的效果。方法选取2022年1月—2023年6月张家港澳洋医院接收的70例剖宫产产妇,随机分为对照组和观察组,每组35例。其中,对照组行腰硬联合麻醉,观察组行B超引导双侧腹横筋膜阻滞复合腰硬联合麻醉,分析不同组别产妇所获取的效果。结果对各组产妇相关指标情况展开分析可见,观察组所耗费时间更短,满意度更高,术后HR、MAP、SBP水平更低,组间差异有统计学意义(P<0.05);分析术后不同时间点疼痛情况可见,观察组数据水平更优,组间差异有统计学意义(P<0.05);观察术后不良反应发生情况可见,观察组发生率低于对照组,同时从镇痛泵按压次数来看,观察组的数据水平更低,组间差异有统计学意义(P<0.05)。结论临床剖宫产手术执行B超引导下双侧腹横筋膜阻滞复合腰硬联合麻醉方式,可在术中获取较好麻醉效果,有助于稳定产妇生命体征,减轻麻醉对机体的损伤,确保手术的安全性和有效性。

Objective To analyze effect of B-ultrasound guided bilateral transverse fascial block combined with lumbar epidural anesthesia for cesarean section patients.Methods The paper chose 70 cesarean section patients in Zhangjiagang Aoyang Hospital from January 2022 to June 2023,and divided them into two groups with principle of randomization,namely control group and observation group,with 35 cases in each group.Control group was treated with combined lumbar epidural anesthesia,while observation group with bilateral transverse fascial block combined with lumbar epidural anesthesia guided by ultrasound.Effect of different groups was analyzed.Results Analysis of relevant indicators of each group of parturients showed,observation group had shorter time consumption,higher satisfaction degree,and lower postoperative HR,MAP and SBP levels.Pain situation at different time points after surgery showed,observation group had better level of data,and incidence of postoperative adverse reactions in observation group was lower than control group.Number of presses on analgesic pump showed,data level of observation group was lower(P<0.05).Conclusion During clinical practice,bilateral transverse fascial block combined with lumbar epidural anesthesia under ultrasound guidance can achieve good anesthesia effect during surgery,stabilize vital signs,reduce anesthesia damage to the body,ensure safety and effect of cesarean section patients.