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| Application of ultrasound guided transverse abdominal plane block for analgesia of women after cesarean section under general anesthesia#br# |
| 1. Qingdao Women and Children's Hospital, Shandong Province, 266000；2. Qingdao Central Hospital |
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Abstract Objective: To investigate the application of ultrasound-guided transverse abdominal plane block for analgesia of women after cesarean section under general anesthesia. Methods: 102 women who underwent cesarean section under general anesthesia from June 2014 to August 2017 were selected as the research subjects and divided into two groups according to the different postoperative analgesia methods (51 cases in each group). The women in control group were given patient control intravenous analgesia (PCIA) after operation, and the women in study group had received ultrasound guided transversus abdominis plane block (TAPB) combined with PCIA. The postoperative prolactin levels, postoperative visual analogue scale (VAS), the dosage of analgesics, the press times of the analgesic pump, the incidence of postoperative complications, and the satisfaction of parturients were compared between the two groups. Results: The serum prolactin level of women in both groups at 6h and 12h, 24h or 48h after operation had increased (P<0.05), and the serum prolactin level of women in the study group was significant higher than that of women in the control group at 6h and 12h, 24h or 48h after operation (P<0.05). The analgesia drug dosage and the press times of analgesia pump of women in the study group during the postoperative 0-12h and postoperative 12-24h were significant lower than those of women in the control group (P<0.05). The VAS of women in both groups at 3h, 6h, 12h and 24h after operation had gradually reduce (P<0.05), and the VAS of women in the study group at 3h, 6h, 12h or 24h after operation was significant lower than that of women in the control group (P<0.05). The incidence rate of adverse reactions of women in the study group was significant lower than that of women in the control group (P<0.05).The satisfaction on analgesia of women in the study group was significant higher than that of women in the control group (P<0.05). Conclusion: Ultrasound guided TAPB was used for analgesia of women after cesarean section can obviously reduce the dosage of analgesic drugs and the press times of the analgesic pump, alleviate the postoperative pain, promote the postpartum lactation, and improve the satisfaction degree of womenn with less adverse reaction.
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