Clinical Study on Ultrasound-Guided Ilioinguinal Transversus Abdominis Plane Block in Elderly Parturients Undergoing General Anesthesia for Cesarean Section
10.13241/j.cnki.pmb.2025.10.007
- VernacularTitle:超声引导下髂腹股沟-腹横肌平面阻滞应用于高龄产妇全麻剖宫产的临床研究
- Author:
Lin-gang WANG
1
;
Li-feng WANG
1
;
Jia WANG
1
;
Ye-lin LAI
1
Author Information
1. 杭州市萧山区第一人民医院麻醉科 浙江 杭州 311200
- Publication Type:Journal Article
- Keywords:
Ultrasound-guided;
Ilioinguinal transversus abdominis plane block;
Elderly parturients;
General anesthesia for cesarean section
- From:
Progress in Modern Biomedicine
2025;25(10):1658-1666
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the clinical efficacy on ultrasound-guided ilioinguinal transversus abdominis plane(I-TAP)block in elderly parturients undergoing general anesthesia for cesarean section.Methods:90 elderly parturients who underwent general anesthesia for cesarean section surgery in Xiaoshan District First People's Hospital of Hangzhou from January 2023 to December 2023 were selected,they were divided into control group(general anesthesia only),TAP block group,and I-TAP block group according to random number table method,with 30 cases in each group.Hemodynamics[heart rate(HR),mean arterial pressure(MAP)],visual analogue score(VAS),ramsay scale score,umbilical artery blood gas index[power of hydrogen(pH),partial pressure of oxygen(PO2),partial pressure of carbon dioxide(PCO2)],neonatal behavioral neural score(NBNA)among the three groups were compared.Results:HR and MAP in I-TAP block group and TAP block group were lower than those in control group at 1min after block(T1)～exit room(T4)time points,and I-TAP block group was lower than that in the TAP block group(P＜0.05).The VAS scores in I-TAP group and TAP group were lower than those in the control group at 12 h and 24 h after surgery,and the I-TAP group was lower than that in the TAP group(P＜0.05).Ramsay scale score in I-TAP group and TAP group were higher than those in control group at 12 h and 24 h after surgery,and the I-TAP group was higher than that in the TAP group(P＜0.05).There was no difference in pH,PCO2 and PO2 among the three groups(P＞0.05).There was no difference in the NBNA scores at the 3 d,14 d and 28 d after birth among the three groups(P＞0.05).Conclusion:Ultrasound-guided I-TAP block applied in elderly parturients undergoing general anesthesia for cesarean section,which can play good sedative and analgesic effect,maintain the hemodynamic stability of the body,and have good safety.
