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| Effect of ultrasound-guided TAPB combined with PCIA for analgesia of women after cesarean section |
| The Third People's Hospital of Xining City, Qinghai Province, 810005 |
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Abstract To observe the effect of ultrasound-guided TAPB combined with PCIA for analgesia of women after cesarean section. Methods: A total of 102 women with cesarean section who had admitted to the third people's hospital of Xining city from October 2014 to October 2017 were selected and divided into observation group and control group according to the random number table (51 cases in each group). The women in control group were treated with only PCIA, and the women in observation group were treated with ultrasound-guided bilateral TAPB combined with PCIA. The analgesic and sedative effects, and comfort degree of women at 2 h, 6 h, 12 h, and 24 h after surgery were compared between the two groups. The analgesic effect was evaluated by visual analogue scale (VAS), the sedative effect was assessed by Ramsay sedation score, and the BCS comfort score was used to evaluate the comfort degree. The number of analgesic pump presses, the doses of deszocine and sufentanil within 24 hours after surgery, and the total incidence of adverse reactions of women within 48 hours after surgery were also compared between the two groups. Results: The VAS scores of women in observation group at 2 h, 6 h, 12 h, and 24 h after surgery were significant lower than those of women in control group, while the Ramsay score and BCS score of women in observation group were significant higher than those of women in control group (P<0.05). The number of analgesic pump presses, the dosages of deszocine and sufentanil used of women within 24 hours after surgery in observation group were significant lower than those of women in control group (P<0.05). No any woman with complication due to TAPB puncture such as puncture site infection, abdominal hematoma, or organ damage was observed in observation group. The overall incidence of adverse reactions of women in observation group was 19.6%, which was significant lower than that (37.25%) of women in control group (P<0.05). Conclusion: Ultrasound-guided TAPB combined with PCIA has higher sustained analgesic effect, which can reduce the analgesic drug dosage after cesarean section, can improve postoperative comfort and safety of puerpera, which is an ideal multimodal analgesia method.
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