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首页> 外文期刊>Journal of Pain Research >Comparison of ultrasound-guided posterior transversus abdominis plane block and lateral transversus abdominis plane block for postoperative pain management in patients undergoing cesarean section: a randomized double-blind clinical trial study
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Comparison of ultrasound-guided posterior transversus abdominis plane block and lateral transversus abdominis plane block for postoperative pain management in patients undergoing cesarean section: a randomized double-blind clinical trial study

机译：超声引导下后腹横肌平面阻滞和侧腹横肌平面阻滞在剖宫产患者术后疼痛管理中的比较：一项随机双盲临床试验研究

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Background: Due to the importance of pain control after abdominal surgery, several methods such as transversus abdominis plane (TAP) block are used to reduce the pain after surgery. TAP blocks can be performed using various ultrasound-guided approaches. Two important approaches to do this are ultrasound-guided lateral and posterior approaches. This study aimed to compare the two approaches of ultrasound-guided lateral and posterior TAP blocks to control pain after cesarean section. Materials and methods: In this double-blind clinical trial study, 76 patients scheduled for elective cesarean section were selected and randomly divided into two groups of 38 and underwent spinal anesthesia. For pain management after the surgery, one group underwent lateral TAP block and the other group underwent posterior TAP block using 20cc of ropivacaine 0.2% on both sides. Pain intensity was evaluated based on Numerical Analog Scale (NAS) at rest and when coughing, 2, 4, 6, 12, 24 and 36 hours after surgery. Results: The pain at rest in the posterior group at all hours post surgery was lower than the lateral group, especially at 6, 12 and 24 hours after the surgery and the difference was statistically significant ( p =0.03, p <0.004, p =0.001). Conclusion: The results of this study show that ultrasound-guided posterior TAP block compared with the lateral TAP block was more effective in pain control after cesarean section.
机译：背景：由于腹部手术后控制疼痛的重要性，因此采用了诸如腹横肌平面（TAP）阻断术等方法来减轻手术后的疼痛。 TAP模块可以使用各种超声引导方法执行。两种重要的方法是超声引导的外侧和后侧方法。这项研究旨在比较剖宫产后超声引导的TAP外侧和后侧TAP阻滞控制疼痛的两种方法。材料和方法：在这项双盲临床试验研究中，选择了76例行选择性剖宫产的患者，并将其随机分为两组，每组38例，并接受了脊髓麻醉。为了手术后的疼痛处理，一组进行了侧面TAP阻滞，另一组使用了20cc的罗哌卡因，两侧均为0.2cc，进行了后TAP阻滞。术后2、4、6、12、24和36小时休息时和咳嗽时根据数值模拟量表（NAS）评估疼痛强度。结果：术后组所有时间后组的静息疼痛均低于外侧组，尤其是在术后6、12和24小时，差异具有统计学意义（p = 0.03，p <0.004，p = 0.001）。结论：这项研究的结果表明，超声引导下后路TAP阻滞与侧向TAP阻滞相比，剖宫产术后的疼痛控制更为有效。

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