横腹部和直立脊柱平面阻塞对术后疼痛控制和剖腹产后抑郁症的影响:一项随机前性研究
Hilal Biradli1, Feyza Çalişir1,2, Alev Özer2
1Department of Anesthesiology and Reanimation, Faculty of Medicine, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkiye.
Turkish journal of medical sciences
|March 12, 2026
概括
勃起器脊柱平面 (ESP) 阻断和横腹平面 (TAP) 阻断在剖腹产疼痛缓解和产后抑郁率方面表现出类似的有效性. 阻断ESP稍微降低了早期疼痛评分和需要救援止痛药的需要.
科学领域:
- 麻醉学 麻醉学
- 产科 产科 产科 产科 产科
- 疼痛管理 疼痛管理
背景情况:
- 在剖腹产后有效的术后疼痛管理对于母亲的康复至关重要.
- 不充分的疼痛控制可以增加并发症的风险,包括产后抑郁症.
- 区域麻醉技术,如勃起脊柱平面 (ESP) 和横腹平面 (TAP) 块,用于剖腹产疼痛缓解.
研究的目的:
- 为了比较ESP和TAP在剖腹产后阻断的术后止痛效果.
- 评估这些障碍对产后抑郁率的影响.
- 评估患者的满意度和需要救援止痛药的需求.
主要方法:
- 一项随机研究,涉及60名接受剖腹产的患者.
- 患者被分配到ESP块 (n=30) 或TAP块 (n=30).
- 使用视觉模拟量表 (VAS) 评估疼痛,使用爱丁堡产后抑郁量表 (EPDS) 评估产后抑郁.
主要成果:
- 在ESP和TAP块 (15小时与14小时) 之间,总止痛持续时间没有显著差异.
- 在ESP块组中,在手术后1小时内,对救援止痛药的需求较低 (p=0.049) 和VAS得分较低 (p=0.032).
- 两组之间没有观察到产后抑郁率或患者满意度的统计学上显著差异.
结论:
- 在剖腹产疼痛管理方面,ESP阻断没有明显优于TAP阻断.
- 在总体止痛时间,产后抑郁和患者满意度方面,ESP和TAP阻断似乎是可比的.
- 阻断ESP可能在早期的术后疼痛减轻和减少补充止痛的需要方面提供轻微的优势.
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