Exploring the analgesic effect of ultrasound-guided bilateral transverse abdominis plane block after cesarean section under lumbar epidural anesthesia
Objective Exploring the effectiveness and safety of intravenous patient-controlled analgesia combined with ultrasound-guided bilateral transverse abdominis plane block after combined lumbar epidural anesthesia for cesarean section.Methods 68 cesarean section parturients were selected as the research subjects and divided into two groups using a random number table method,with 34 cases in each group.The control group received intravenous patient-controlled analgesia,while the study group received bilateral transverse abdominis plane block guided by ultrasound on the basis of the control group.The pain level,analgesic effect,and stress response of the two groups were compared.Results The visual analogue scale scores of the study group were lower than those of the control group at 12,24,and 48 hours after surgery,and the number of times self-control analgesia was required was less than that of the control group,with statistical significance(P＜0.05);48 hours after surgery,the levels of norepinephrine,cortisol,and angiotensin Ⅱ in the study group were lower than those in the control group,and the differences were statistically significant(P＜0.05);48 hours after surgery,the levels of CD3+,CD4+,CD4+/CD8+in the study group were higher than those in the control group,and the differences were statistically significant(P＜0.05).Conclusion Intravenous controlled analgesia combined with ultrasound-guided bilateral transverse abdominis plane block after cesarean section under lumbar epidural anesthesia can significantly reduce maternal pain,reduce the frequency of analgesic drug use,lower stress response,and have minimal impact on immune function.It is worth applying.
NETL
NSTL
万方数据
维普
