Cesarean section
Conditions
Interventions
The first group:Quadratus lumborum block combined with patient-controlled intravenous analgesia
The second group:Epidural morphine combined with patient-controlled intravenous analgesia
The third group:Simple patient-controlled intravenous analgesia
Sponsors
Department of Anesthesiology, Guangdong Second Provincial General Hospital
Eligibility
Sex/Gender
Female
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: 1. 90 patients (ASA I-II, aged 18-40 years) with singleton pregnancy and gestation time more than 37 weeks, body mass index ((BMI) 20-40kg/ m ^ 2) were selected for elective lower uterine segment transverse incision cesarean section under combined spinal-epidural anesthesia. 2. They were able to perform postoperative resting, exercise and visceral pain VAS scores, and were familiar with the use of patient-controlled intravenous analgesia pump. 3. Sign the informed consent for postoperative analgesia and agree to the use of nerve block for postoperative analgesia.
Exclusion criteria
Exclusion criteria: 1. Contraindications to spinal or regional anesthesia; 2. History of allergy to drugs used in this study; 3. Body mass index less than 20kg/ m ^ 2 or greater than 40kg/ m^2; 4. Preeclampsia; 5. History of chronic pain or long-term use of opioids; 6. Patients who are unable to understand or use the verbal pain score system or patient-controlled analgesia (PCA) pump. 7. The failure or poor effect of spinal anesthesia during operation was changed to general anesthesia, and the patients who could not cooperate with postoperative visit or dropped out of this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative dosage of sufentanil; | — |
Secondary
| Measure | Time frame |
|---|---|
| Number of PCA;VAS score (rest, exercise, visceral pain);Exhaust time;Sedation and comfort score;Hospitalization time;Height of fundus of uterus;Serum PRL concentration;Additional demand for analgesia; | — |
Countries
China
Contacts
Public ContactZhang Hui
Guangdong Second Provincial General Hospital
Outcome results
None listed