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| Influence of ilioinguinal transversus abdominis block used in cesarean section of women on their postoperative analgesia |
| 1. Graduate School of Zhejiang Chinese Medicine University, Hangzhou, Zhejiang Province, 310053; 2. Lishui People's Hospital, Lishui, Zhejiang Province |
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Abstract To investigate the influence of ilioinguinal transversus abdominis plane (I-TAP) block and transversus abdominis plane (TAP) block used in cesarean section of women on their postoperative analgesia. Methods: 86 pregnant women who wanted cesarean section were randomly divided into two groups from April 2021 to March 2023. 43 women in group A received TAP block anesthesia, while 43 women in group B received I-TAP block anesthesia. The postoperative pain degree evaluated by VAS score, the compression number of patient-controlled analgesia (PCA), the prolactin level and the adverse reactions rate of the women in the two groups were observed. Results: The VAS scores of the women in group B at 2h after surgery (1.29±0.32 points), at 4h after surgery (2.02±0.53 points), at 8h after surgery (2.84±0.82) points, at 16h after surgery (2.31±0.72 points) and at 24h after surgery (2.33±0.52 points) were significantly lower than those (1.67±0.46 points, 2.55±0.70 points, 3.62±1.00 points, 2.97±0.81 points and 2.65±0.74 points) of the women in group A. The total number of the PCA presses (12.12±2.69 times) and the number of the effective PCA presses (5.88±1.46 times) of the women in group B were significantly less than those (14.46±4.57 times and 7.03±1.25 times) in group A. The serum PRL level of the women in the two groups in the first day after operation had increased significantly, and which (318.26±40.15 mu g/L) of the women in group B was significantly higher than that (251.65±32.67 mu g/L) of the women in group A. There was no significant difference in the incidence of adverse reactions (9.3% vs. 14.0%) of the women between the two groups (P>0.05). Conclusion: The application effect of I-TAP block for anesthesia in cesarean section of the women is superior to that of TAP block, which can reduce the postoperative pain, reduce the number of PCA compressions, improve the postoperative prolactin level and has fewer adverse reactions of the women, with the high effectiveness and safety, and which is worth of application in clinic.
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