摘要
目的:分析罗哌卡因复合右美托咪定腹横肌平面阻滞对剖宫产术后镇痛的效果。方法:选取82例2019年2—12月间在甘肃省武威市中医医院行子宫下段横切口剖宫产术的产妇,随机分为对照组和研究组,每组各41例。两组手术结束后均在超声引导下行双侧腹横肌平面阻滞,对照组双侧给予罗哌卡因,研究组双侧给予罗哌卡因复合右美托咪定,比较两组的镇痛效果。结果:研究组较对照组手术时间稍长,术中出血量稍多,但差异均无统计学意义(P>0.05);术后6h、12h、24h两组疼痛评分差异无统计学意义(P>0.05),术后48h研究组评分显著低于对照组,差异有统计学意义(t=3.274,P<0.05);术后6h两组镇痛泵有效按压次数差异无统计学意义(P>0.05),术后12h、24h、48h研究组有效按压次数均显著少于对照组,差异有统计学意义(t=3.825、3.662、2.473,P<0.05);研究组不良反应发生率显著低于对照组,差异有统计学意义(χ^(2)=7.852,P<0.05);研究组术后24h内分泌初乳例数多于对照组,差异无统计学意义(P>0.05);研究组术后肛门首次排气时间显著短于对照组,差异有统计学意义(t=4.216,P<0.05)。结论:罗哌卡因复合右美托咪定腹横肌平面阻滞对剖宫产术后镇痛的效果较为显著,值得推广。
Objective:To analyze and study the effect of ropivacaine combined with dexmedetomidine on the analgesia after cesarean section.Methods:A total of 82 parturients who underwent cesarean section by transverse incision in the hospital were randomly divided into control group and study group,with 41 cases in each group.After the operation,bilateral transversus abdominis plane block was performed under ultrasound guidance in the two groups.The control group was given ropivacaine on both sides,and the study group was given ropivacaine combined with dexmedetomidine on both sides.The analgesic effects of the two groups were compared.Results:Compared with the control group,the study group had longer operation time and more intraoperative blood loss,but the difference was not statistically significant(P>0.05).The pain scores of the two groups at 6 h,12 h,and 24 h after surgery were similar(t=3.825、t=3.662、t=2.473,P>0.05).The score of the study group at 48 h after operation was significantly lower than that of the control group(P<0.05).The effective number of compressions of the analgesic pumps in the two groups was similar at 6 h after operation(P>0.05).The number of effective presses in the study group was significantly less than that in the control group at 12 h,24 h,and 48 h after surgery(P<0.05).The incidence of adverse reactions in the study group was significantly lower than that in the control group(P<0.05).The number of endocrine colostrum cases in the study group was more than that in the control group at 24 h after surgery,but the difference was not statistically significant(P>0.05).The first postoperative time of the anus in the study group was significantly shorter than that in the control group(t=4.216,P<0.05).Conclusion:Ropivacaine combined with dexmedetomidine transversus abdominis plane block has a significant effect on analgesia after cesarean section and is worthy of promotion.
作者
郑海梅
陈秀梅
张秀
ZHENG Hai-mei;CHEN Xiu-mei;ZHANG Xiu(Traditional Chinese Medicine Hospital of Wuwei City,Wuwei,Gansu,733000,China)
出处
《黑龙江医学》
2021年第21期2276-2278,共3页
Heilongjiang Medical Journal
基金
武威市科技计划项目(ww180229)。
关键词
剖宫产
镇痛
罗哌卡因
右美托咪定
腹横肌平面阻滞
Cesarean section
Analgesia
Ropivacaine
Dexmedetomidine
Transverse abdominal muscle plane block
