不同容量0.25%的罗哌卡因对超声引导下双侧TAP阻滞剖宫产术后镇痛效果的影响  

Effect of Different Volume of 0.25% Ropivacaine on Analgesia after Cesarean Section with Bilateral TAP Block under Ultrasound Guidance

作　　者：周瑞 贾海鹏 崔瑜珺 曹洁 Zhou Rui;Jia Haipeng;Cui Yujun;Cao Jie(Department of Anesthesiology,Dengfeng People's Hospital,Dengfeng,Henan 452470)

机构地区：[1]登封市人民医院麻醉科,河南登封452470

出　　处：《哈尔滨医药》2025年第1期38-40,共3页Harbin Medical Journal

摘　　要：目的探究不同容量0.25%的罗哌卡因对超声引导下双侧TAP阻滞剖宫产术后的镇痛效果。方法选取行剖宫产手术产妇,分为三组,每组50例。L组:双侧TAP阻滞,每侧注射0.25%罗哌卡因20 mL,总量40 mL;M组:双侧TAP阻滞,每侧注射0.25%罗哌卡因25 mL,总量50mL;H组:双侧TAP阻滞,每侧注射0.25%罗哌卡因30 mL,总量60 mL。观察三组术后恢复情况、镇痛指标、疼痛反应及不良反应。结果三组术后疼痛减轻时间、自主排尿时间差异具有统计学意义(P<0.05),M组与H组差异无统计学意义(P>0.05);三组首次按压镇痛泵时间、24 h按压镇痛泵次数差异具有统计学意义(P<0.05),M组与H组差异无统计学意义(P>0.05);三组术后12、24h疼痛程度差异具有统计学意义(P<0.05),12h中H组疼痛程度最低,差异有统计学意义(P<0.05),24h中H组与M组低于L组,差异具有统计学意义(P<0.05)。结论0.25%罗哌卡因用于超声引导下双侧TAP阻滞可有效缓解剖宫产术后疼痛,其中中剂量组镇痛效果最优,安全性良好。Objective To analyze the analgesic effect of 0.25%ropivacaine in different volumes on bilateral TAP block under ultrasound guidance after cesarean section.Methods A total of 146 ACOS patients were selected as the research objects.The patients were randomly allocated into two groups:the observation group and the control group.While the control group received solely inhaled budesonide aerosol therapy,the observation group was administered glycine-theophylline sodium sustained-release tablets in addition to the same treatment regimen as the control group.The lung function,inflammatory factors and clinical effects were compared between the two groups.Results There were significant differences in pain relief time and spontaneous urination time among the three groups(P<0.05),but there was no significant difference between group M and group H(P>0.05).There were significant differences in the time of first pressing the analgesic pump and the number of pressing the analgesic pump within 24 hours among the three groups(P<0.05),and there was no significant difference between group M and group H(P>0.05).There was a significant difference in the degree of pain among the three groups at 12h and 24h after operation(P<0.05),and the lowest degree of pain was found in the middle H group at 12h(P<0.05).The lowest degree of pain was found in the middle H group and the M group at 24h(P<0.05).Conclusion 0.25%ropivacaine for ultrasound-guided bilateral TAP block can effectively relieve pain after cesarean section,and the middle-dose group has the best analgesic effect,and has high safety.

关 键 词：容量 0.25%罗哌卡因 超声引导 双侧腹横肌平面阻滞 剖宫产 镇痛效果 

分 类 号：R719.82[医药卫生—妇产科学]