首页
期刊简介
编 委 会
期刊订阅
百年学会 医星璀璨
名院风范
学科风华
菁英风采
投稿须知
过刊浏览
联系我们
篇名
关键词
作者
作者单位
摘要
关键词
注册本刊作者
作者投稿查稿
专家远程审稿
编辑在线审稿
编务办公专区
主编办公专区
下载文档
《上海医学》审稿费代缴委托书
《上海医学》杂志2024年征订启事
《上海医学》期刊编审系统审稿专家使用手册
工作动态
03-05
《上海医学》杂志2024年度“春蕾杯”论文评比征文通知
06-14
创新驱动,培育人才—《上海医学》2021年度春蕾计划评审结果揭晓
01-21
《上海医学》期刊影响力指标和学科排名取得显著提升
01-20
《上海医学》恭祝大家新年快乐!
08-18
作废声明
联系方式
发行周期:
月刊
主管单位:
上海市卫生健康委员会
主办单位:
上海市医学会
编辑出版:
《上海医学》编辑部
联系地址:
上海市北京西路1623号
邮编:
200040
电话:
021-62178606
传真:
021-62178606
邮箱:
smasmj@shsma.org.cn
ISSN:
ISSN0253-9934
CN:
CN31-1366/R
收款账号:
1001255309008900719
账户名:
上海市医学会
开户行:
工商银行上海市静安寺支行
友情链接
上海市医学会
当前位置:首页 >
超声引导下肋缘下腹横肌平面阻滞用于剖宫产术后镇痛效果的研究
Efficacy of ultrasound-guided subcostal transversus abdominis plane block on postoperative analgesia for patients undergoing Caesarean section
浏览(501) 下载(0)
DOI:
作者:
吕莹莹,赵达强,谢亚明,张宇,江伟
Lv Ying-Ying,Zhao Da-Qiang,Xie Ya-Ming,Zhang Yu,Jiang Wei
作者单位:
上海市第六人民医院
Shanghai Sixth People's Hospital
关键词:
超声引导;腹横肌平面神经阻滞;术后镇痛
ultrasound-guided,transversus abdominis plane block, postoperative analgesia
摘要:
目的 观察超声引导下肋缘下腹横肌平面(transversus abdominis plane,TAP)阻滞用于剖宫产手术后的镇痛效果。方法 50例ASAΙ~Ⅱ级于蛛网膜下腔麻醉下行剖宫产手术产妇随机均分为两组,每组25例(N=25)。术后观察组(T组)双侧TAP各注射0.375%罗哌卡因15ml,对照组(S组)则用生理盐水代替。所有产妇均使用静脉自控镇痛泵(Patient Controlled Intravenous Analgesia, PCIA)。比较两组术后6小时、12小时、24小时和48小时视觉模拟疼痛评分(Visual analogue scale,VAS),PCIA使用总量和下床活动时间。结果两组产妇术后6小时、12小时的VAS评分及PCIA使用总量均有显著性差异(P<0.05)。术后6小时、12小时的VAS评分T组明显低于S组,而术后24小时和48小时的VAS评分两组则无显著性差异(P>0.05)。患者自控镇痛用量对照组明显多于实验组(P<0.05)。术后下床活动时间T组明显早于S组(P<0.05)。在实验组中,横切口与竖切口患者间的术后VAS评分及PCIA使用总量均无显著性差异(P>0.05)。未见TAP穿刺引起的不良反应。结论 超声引导下行TAP阻滞用于剖宫产手术后镇痛是安全有效的。
Objective To observe the efficacy of ultrasound-guided subcostal transversus abdominis plane block on postoperative analgesia for patients undergoing caesarean section. Methods Fifty ASAΙto Ⅱ pregnant women undergoing caesarean section by subarachnoid anesthesia were randomized into 2 groups(N=25 each):Group T and Group S. Patients in Group T were received subcostal transversus abdominis plane block (TPAB)guided by ultrasound with 0.375% Ropivacaine 15ml each side after operation.Patients in Group S were received physiological saline. All patients received patient controlled intravenous analgesia(PCIA) after operation. 6 hours, 12 hours,24 hours and 48 hours after the operation, visual analog pain (VAS) grade, analgesic pump delivery dosage and out-of-bed activity time were compared between the two groups. 6 hours and 12 hours after the operation, the VAS grade in the Group T was obviously lower than that in the Group S(P<0.05), while 24 hours and 48 hours after the operation,there was no obvious difference (P>0.05). The dosage of patient-controlled analgesia and out-of-bed activity time in the Group S were much more than those in the Group T(P<0.05). In Group T, there was no difference of postoperative VAS grade and PCA dosage between transverse incision and vertical incision (P>0.05). Adverse reactions caused by TAP puncture were not found.
点击下载DOC全文