| 张 莹,金小春,蒋 岩,陈 鹏,尹述洲.双侧腹横肌平面阻滞与腰方肌阻滞分别联合静脉镇痛对剖宫产术后镇痛效果对比[J].,2024,(21):4148-4150 |
| 双侧腹横肌平面阻滞与腰方肌阻滞分别联合静脉镇痛对剖宫产术后镇痛效果对比 |
| Comparison of Analgesic Effects of Bilateral Transverse Abdominis Plane Block and Lumbar Quadratus Muscle Block Combined with Intravenous Analgesia after Cesarean Section |
| 投稿时间：2024-04-12 修订日期：2024-05-05 |
| DOI：10.13241/j.cnki.pmb.2024.21.029 |
| 中文关键词: 腹横肌平面阻滞 腰方肌阻滞 静脉镇痛 剖宫产 |
| 英文关键词: Planar block of transverse abdominal muscle Lumbar quadratus muscle block Intravenous analgesia Cesarean section |
| 基金项目:江苏省卫计委科研项目(H2020674) |
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| 中文摘要: |
| 摘要 目的：对比双侧腹横肌平面阻滞与腰方肌阻滞分别联合静脉镇痛镇痛效果。方法：选2022.1-2023.3剖宫产产妇90例，均分三组：对照组、试验1组、试验2组，各30例。对照组用舒芬太尼+布托啡诺镇痛；试验1组加腰方肌阻滞；试验2组加双侧腹横肌平面阻滞。比较三组镇痛效果等指标。结果：3组产妇术后 VAS评分中，试验2组与试验1组低于对照组，且试验2组低于试验1组（P<0.05）；试验2组与试验1组镇痛不良反应总发生率明显低于对照组（P<0.05）。结论：双侧腹横肌阻滞+静脉镇痛与腰方肌阻滞+静脉镇痛较单一静脉镇痛在剖宫产术后镇痛更优，安全性高。其中，双侧腹横肌阻滞更能减轻疼痛，减少镇痛药用量，安全性更高。 |
| 英文摘要: |
| ABSTRACT Objective: Compare the effect of bilateral transverse plane block and quadratus block combined with intravenous analgesia, respectively. Methods: 90 cases of cesarean section of 2022.1-2023.3 were selected, equally divided into three groups: control group, test group 1, test group 2, 30 cases each. The control group had analgesia with sufentanil plus butorphanol; trial 1 plus a quadratus block; trial 2 plus a bilateral transverse ventris plane block. Comparing the three groups. Results: In the postoperative VAS scores of group 3, group 2 and 1 were lower than the control group, and group 2 was lower than group 1(P<0.05); the total incidence of adverse analgesia in group 2 and 1 was significantly lower than the control group(P<0.05). Conclusion: Bilateral transverse abdominal muscle block plus venous analgesia and venous analgesia has better analgesia and higher safety after cesarean section. Among them, bilateral transverse ventral muscle block can reduce pain, reduce the amount of analgesic medicine, and have higher safety. |
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