|
|
Effect of Different Volume of 0.25% Ropivacaine on Analgesia after Cesarean Section with Bilateral TAP Block under Ultrasound Guidance |
Zhou Rui, Jia Haipeng, Cui Yujun, Cao Jie |
Department of Anesthesiology,Dengfeng People's Hospital,Dengfeng,Henan 452470 |
|
|
Abstract Objective To analyze the analgesic effect of 0.25% ropivacaine in different volumes on bilateral TAP block under ultrasound guidance after cesarean section. Methods A total of 146 ACOS patients were selected as the research objects.The patients were randomly allocated into two groups:the observation group and the control group.While the control group received solely inhaled budesonide aerosol therapy,the observation group was administered glycine-theophylline sodium sustained-release tablets in addition to the same treatment regimen as the control group.The lung function,inflammatory factors and clinical effects were compared between the two groups. Results There were significant differences in pain relief time and spontaneous urination time among the three groups(P<0.05),but there was no significant difference between group M and group H(P>0.05).There were significant differences in the time of first pressing the analgesic pump and the number of pressing the analgesic pump within 24 hours among the three groups(P<0.05),and there was no significant difference between group M and group H(P>0.05).There was a significant difference in the degree of pain among the three groups at 12h and 24h after operation(P<0.05),and the lowest degree of pain was found in the middle H group at 12h(P<0.05).The lowest degree of pain was found in the middle H group and the M group at 24h(P<0.05). Conclusion 0.25% ropivacaine for ultrasound-guided bilateral TAP block can effectively relieve pain after cesarean section,and the middle-dose group has the best analgesic effect,and has high safety.
|
Received: 12 February 2025
|
|
|
|
|
[1] 杨钦文,赵毅,盛温温,等.罗哌卡因联合地塞米松双侧TAP阻滞在全麻剖宫产的疗效观察[J].继续医学教育,2019,33(5):143-145. [2] 曾贝贝,何清,张玲.超声引导下不同浓度罗哌卡因腰方肌阻滞对剖宫产术后镇痛及免疫功能影响的研究[J].中国医学装备,2022,19(8):99-104. [3] 刘忠文.超声引导双侧TAP阻滞在腰-硬联合麻醉剖宫产术后的应用效果[J].临床医学研究与实践,2023,8(15):88-90+98. [5] 洪丽琼,高居强.超声引导下双侧TAP阻滞在剖宫产术后镇痛中的应用[J].实用中西医结合临床,2021,21(22):4-6. [6] 刘海根,朱云娟.超声引导下双侧腹横肌平面阻滞在全身麻醉剖宫产中的应用效果[J].中国当代医药,2020,27(20):160-163. [6] 沈虹春,蔡利.剖宫产术后不同浓度罗哌卡因在超声引导下双侧TAP阻滞的术后镇痛效果比较[J].现代实用医学,2015,27(10):1273-1275. [7] 王路,孟艳举,黄守印.不同浓度罗哌卡因联合氢吗啡酮在剖宫产术后镇痛中的应用效果[J].临床医学研究与实践,2022,7(33):118-120. [8] 陈霞,万云芳,顾珍梅,等.B超引导下神经阻滞在临床麻醉中的应用效果评价[J].基层医学论坛,2023,27(35):24-26. [9] 李潇,方育.超声引导下不同容量罗哌卡因腹横肌平面阻滞联合静脉镇痛在剖宫产术后镇痛效果的分析[J].中外医疗,2023,42(31):90-93+119. [10] 苏适夷,李恒.超声引导下双侧腹横筋膜平面阻滞联合全身麻醉在高危剖宫产中的应用研究[J].中国现代药物应用,2018,12(19):94-96. [11] 李歆跃,薛照静,薛富善,等.超声引导下腰方肌后阻滞和连续硬膜外镇痛对剖宫产术后镇痛效果的比较[J].临床和实验医学杂志,2020,19(8):891-895. [12] 彭杏,李双凤,薛祥庆,等.不同剂量罗哌卡因复合舒芬太尼对硬膜外麻醉分娩产妇镇痛效果及对产后并发症影响[J].临床军医杂志,2023,51(6):622-624+628. |
[1] |
Huang Haishen. Application of Enhanced MSCT in Hepatocellular Carcinoma Ultrasound-guided Radiofrequency Ablation Treatment of Small Liver Cancer[J]. journal1, 2023, 43(6): 9-11. |
[2] |
. [J]. journal1, 2023, 43(6): 76-77. |
[3] |
Shang Chenglei. To Investigate the Value of Esketamine in the Postoperative Rehabilitation of Shoulder Arthroscopy in Ultrasound-guided Selective Cervical Nerve Root Block[J]. journal1, 2023, 43(3): 30-32. |
[4] |
. [J]. journal1, 2023, 43(3): 76-77. |
[5] |
. [J]. journal1, 2023, 43(3): 83-84. |
[6] |
. [J]. journal1, 2023, 43(2): 63-65. |
|
|
|
|