Analyzing the Effects of Ropivacaine Compounded with Dexmedetomidine Transversus Abdominis Plane Block Analgesia on Uterine Hemodynamics and Gastrointestinal Function after Cesarean Delivery
Objective To analyze the analgesic effect of ropivacaine compounded with dexmedetomidine transversus abdominis plane block in patients undergoing cesarean delivery after surgery.Methods The clinical data of 130 women undergoing cesarean delivery in Xuzhou Cancer Hospital from April 2020 to April 2023 were retrospectively selected,and all of them were put under combined spinal and epidural anesthesia,and were divided into the control group and the observation group according to the different methods of postoperative analgesia,with 65 cases in each group.The control group was treated with intravenous self-control analgesia,and the observation group was treated with intravenous self-control+ropivacaine compounded with dexmedetomidine transversus abdominis plane block an-algesia.The pain level,analgesic effect,uterine hemodynamic status and gastrointestinal function recovery at different times after operation were compared between the two groups.Results The postoperative pain scores of 2 h(2.68±0.75)points,12 h(3.27±0.89)points,and 24 h(2.53±0.93)points in the observation group were lower than those of the con-trol group,which were(4.23±1.04)points,(5.35±1.28)points,and(3.69±1.12)points,and the differences were statisti-cally significant(t=9.746,10.757,6.424,all P<0.05).In the observation group,the time of the first analgesic pump pressure in the 72 h postoperative period was longer than that of the control group,and the number of analgesic pump presses and the dosage of sufentanil were lower than that of the control group,and the differences were statistically sig-nificant(all P<0.05).The level of uterine hemodynamic indexes in the observation group was better than that in the control group in the 72 h postoperative period,and the difference was statistically significant(P<0.05).The postopera-tive gastrointestinal function recovery indexes of the observation group were shorter than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Ropivacaine compound with dexmedetomidine transversus abdominis plane block analgesia application in postoperative analgesia after cesarean delivery can effec-tively improve the postoperative pain,reduce the dosage of sufentanil,improve the uterine hemodynamic status,and the recovery of the maternal gastrointestinal function in the postoperative period is faster.
RopivacaineDexmedetomidineTransversus abdominis plane block analgesiaCesarean deliveryUterine hemodynamic indexGastrointestinal function
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