右美托咪定复合罗哌卡因腰方肌阻滞对剖宫产术后镇痛的影响

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Abstract Objective To evaluate the effect of Dexmedetomidine combined with Ropivacaine quadratus lumborum block on cesarean section puerpera and postoperative analgesia.Methods A total of 66 primipara who were treated in Shuyang Hospital from April 2019 to July 2021 and underwent elective single-session spinal anesthesia and cesarean section were selected as the research objects,and they were divided into two groups by random number table method,with 33 cases in each group.The control group was given Ropivacaine quadratus lumborum block after operation,the observation group was combined with Dexmedetomidine on the basic of the control group,and the two groups were given patient-controlled intravenous analgesia after operation.The resting pain score,exercise pain score,Sufentanil consumption at 48 h after surgery,the number of analgesic pump pressings at 48 h after surgery and the total incidence of adverse reactions were compared between the two groups.Results The visual analogue scale (VAS) score of rest and motion pain in the observation group were lower than those in the control group at 24,36 and 48 hours after operation,and the differences were statistically significant (P＜0.05).There was no significant difference in the total incidence rate between the two groups (P＞0.05).The dosage of Sufentanil and the times of analgesic pump pressings in the observation group at 48 h after operation were less than those in the control group,and the differences were statistically significant(P＜0.05).Conclusion In the postoperative analgesia of puerpera with cesarean section,the implementation of right Medetomidine combined with Ropivacaine block of psoas quadratus muscle can provide more perfect and long-term analgesia for puerpera,and the incidence of adverse reactions after medication is not high,with good safety.It is an ideal analgesic scheme in the postoperative analgesia of cesarean section,which is worthy of reference.

Key words： Cesarean section Dexmedetomidine Psoas quadratus block Ropivacaine Postoperative analgesia

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