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| Effect of Ultrasound-guided Bilateral TAP Block Combined with Ⅲ H Nerve Block on Incision Pain after Cesarean Section |
| NIE Bin, CHI Xiaohui |
| Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Hubei Wuhan 430030, China |
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Abstract Objective: To investigate the effect of ultrasound guided bilateral TAP block combined with ⅢH nerve block on incision pain after cesarean section. Methods: 60 cases of cesarean section patients admitted to our hospital from June 2015 to June 2018 were randomly divided into control group and experimental group according to random number table method. All patients were anesthetized with combined spinal-epidural anesthesia. All patients in the control group underwent ultrasound-guided bilateral TAP block with 0.5% ropivacaine of 20mL on each side, while those in the experimental group underwent ultrasound-guided bilateral TAP block with 0.5% ropivacaine of 20 ml on each side. NRS score of rest and exercise in each group within 48 hours after surgery was recorded, exhaust time and first time to the ground of the two groups were recorded, and satisfaction with postoperative analgesia and adverse reactions of the two groups were compared. Results: There was no significant difference in NRS score between the two groups at other time points (all P>0.05). After treatment, there was no significant difference between the two groups in analgesia satisfaction, first exhaust time and first ground floor time (all P>0.05). After treatment, there was no significant difference in sedation score and adverse reactions between the two groups (all P>0.05). Conclusion: Compared with bilateral TAP block, ultrasound-guided bilateral TAP block combined with Ⅲ H block can not effectively improve the analgesic effect of incision after cesarean section.
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2019, Vol. 25 
