|
|
Application of Bilateral Abdominal Transverse Plane Block Combined with Single Lumbar Anesthesia in Cesarean Section and its Effect on Newborns |
WANG Zhan-peng, JIA Zheng |
Department of Anesthesiology,Affiliated Hospital of Qinghai University,Xiling,810001 |
|
|
Abstract 【Objective】To investigate the application of bilateral abdominal transverse block combined with single spinal anesthesia in cesarean section and its effect on neonates.【Methods】A total of 66 maternal women who underwent cesarean delivery in our hospital were randomly divided into experimental group (33 cases) and control group (33 cases). The control group was given routine combined spinal epidural anesthesia and epidural analgesia. The experimental group was treated with bilateral transverse plane block combined with single spinal anesthesia. The effects of different anesthetic methods on cesarean section and neonatal were compared. 【Results】The VAS scores of the observation group were significantly lower than that of the control group at 3, 6, 9, 12 and 24 hours after cesarean section, and there was a significant difference between the two groups (P<0.05). The total complication rate of the observation group was 9.09% (3/33), which was significantly lower than that of the control group 33.33% (11/33), and there was significant difference between the two groups (P<0.05).There was no significant difference in blood gas indexes such as PH, partial pressure of oxygen, partial pressure of carbon dioxide and saturation of oxygen between the two groups after operation (P>0.05).【Conclusion】 The application of bilateral abdominal transverse plane block combined with single lumbar anesthesia in cesarean section has a significant effect, which can significantly reduce the dosage of narcotic drugs, reduce the postoperative pain of puerpera, and has a low rate of complications and adverse reactions. It is safe and reliable to use, which is worth popularizing.
|
Received: 11 April 2018
|
|
|
|
|
[1] 乔玉敏. 比较腰麻-硬膜外联合麻醉下不同阻滞平面在剖宫产手术中的临床效果[J].中外医疗, 2016, 35(6):104-105.
[2] Sivevski AG, Sholjakova MV, Kartalov AB,et al.Comparison of low dose spinal anesthesia with general anesthesia in pre-eclamptic parturients undergoing emergency cesarean section[J].Ana Pain Int Care,2015, 19(1):37-43.
[3] 管俊辉, 佘守章, 张玉洁,等. 超声引导下双侧腹横肌平面阻滞对剖宫产产妇术后地佐辛自控硬膜外镇痛效应的影响[J].广东医学, 2015, 36(17):2739-2741.
[4] 王泽华, 胡文庆, 徐学敏,等. 腰麻-硬膜外联合阻滞麻醉对妊娠期高血压疾病剖宫产患者的麻醉效果及对新生儿的影响[J].中国妇幼保健, 2017, 32(2):404-406.
[5] 贺淑君, 王雷, 李玲,等. 超声引导下腹横肌平面阻滞在剖宫产术后镇痛中的应用[J].中国医师进修杂志, 2015, 38(10):751-754.
[6] Juang J, Gabriel RA, Dutton RP,et al.Choice of anesthesia for cesarean delivery:an analysis of the national anesthesia clinical outcomes registry[J].Anesth Analg,2017, 124(6):1914-1917.
[7] 刘欣, 姜山, 孔繁丽,等. 超声引导下腹横肌平面阻滞用于剖宫产腰麻硬膜外联合麻醉时术中及术后效果观察[J].临床外科杂志, 2016, 24(8):629-632.
[8] 谢海, 李艳. 超声引导下不同入路腹横肌平面阻滞对剖宫产手术后镇痛的影响[J].首都医科大学学报, 2015, 36(5):791-793. |
|
|
|