Effect of erector spinae plane block combined with patient controlled intravenous analgesia on postoperative analgesia after cesarean section
10.3969/j.issn.1673-9701.2024.24.002
- VernacularTitle:竖脊肌平面阻滞联合患者自控静脉镇痛用于剖宫产术后镇痛的效果
- Author:
Hanqing YAO
1
;
Jiayue HUANG
;
Yufang DONG
;
Lin LIU
;
Xinghua QIAN
Author Information
1. 嘉兴市妇幼保健院手术麻醉科,浙江嘉兴 314000
- Keywords:
Erector spinae plane block;
Patient controlled intravenous analgesia;
Transversus abdominis plane block;
Postoperative analgesia;
Caesarean section
- From:
China Modern Doctor
2024;62(24):6-10,20
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess effect of ultrasound-guided erector spinae plane block(ESPB)combined with patient controlled intravenous analgesia(PCIA)on postoperative analgesia after cesarean section.Methods A total of 120 full-term singleton pregnant women who underwent cesarean section under spinal anesthesia at Jiaxing Maternal and Child Health Care Hospital from May 2022 to August 2023 were selected.Participants were randomly divided into three groups using a random number table:Group E(ESPB combined with PCIA),group T[transversus abdominis plane(TAP)block combined with PCIA],and control group(PCIA alone),with 40 women in each group.Visual analogue scale(VAS)and Bruggrmann comfort scale(BCS)scores during rest and coughing were recorded at 4h,8h,12h,24h,and 48h postoperatively.Number of effective PCIA presses,total sufentanil dosage,proportion of rescue analgesia and maternal satisfaction were also documented within 48h.Additionally,adverse reactions and neonatal outcomes were observed within the same 48h period.Results Postoperatively,VAS scores for rest and coughing in group E at 8h,12h,24h were significantly lower than those in group T,those in two groups were lower than those in control group(P＜0.05).Postoperatively at 8h,12h,and 24h,BCS scores in group E were significantly higher than those in group T,with both higher than those in control group(P＜0.05).Within 48h after surgery,the number of effective PCIA presses,proportion of rescue analgesia and total sufentanil dosage in group E were lower than those in group T,both lower than those in control(P＜0.05).Moreover,maternal satisfaction score in group E was significantly higher than that in group T,that in two groups was significantly higher than that in control group(P＜0.05).Within 48h after surgery,there were no significant differences in adverse reactions or neonatal outcomes among the three groups(P＞0.05).Conclusion Ultrasound-guided ESPB combined with PCIA outperforms TAP block combined with PCIA,with reducing analgesic dose and enhancing maternal satisfaction and comfort.
