目的:探讨罗哌卡因腹横肌平面阻滞用于剖宫产术后镇痛的效果及对新生儿神经功能的影响.方法:选取2016年6月—2017年6月河南省鹿邑县人民医院收治的择期行剖宫产术患者90例,采用随机数字表法分为观察组和对照组,每组45例.两组患者术后均行静脉自控镇痛,给予舒芬太尼;观察组患者加用双侧腹横肌平面阻滞,给予罗哌卡因.比较两组患者术后4、8、12及48 h的视觉模拟评分、镇痛泵有效按压次数,术后12、24及48 h新生儿神经功能评分,术后不良反应发生情况.结果:术后4、8及12 h,观察组患者视觉模拟评分明显低于对照组同期,差异均有统计学意义(P0.05);术后8、12及48 h,观察组患者镇痛泵有效按压次数明显少于对照组同期,差异均有统计学意义(P0.05);观察组患者术后恶心呕吐的发生率明显低于对照组,差异有统计学意义(P0.05).After surgery of 8, 12 and 48 h, the number of effective pressing of analgesic pump of observation group was significantly less than that of control group , with statistically significant difference ( P 0.05 ) .The incidence of nausea and vomiting in observation group was significantly lower than that in control group , with statistically significant difference ( P<0.05 ) .CONCLUSIONS: The analgesic effects of ropivacaine for transversus abdominis plane block on puerperae after cesarean section , without any harmful impact on neonatal neurologic function with higher safety .
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