Cesarean section
Conditions
Interventions
PCIA group: Intravenous patient-controlled analgesia combined with intrathecal morphine (nalbuphine 2mg/kg) + ITM 2mg:The patient received a patient-controlled intravenous analgesia device with a conc
Group LB: Liposomal bupivacaine transversus abdominis plane block combined with intrathecal morphine (LB 266 mg TAP + ITM 2 mg):Abdominal transverse fascia plane block was performed using 266mg of bup
ITM group: Intrathecal morphine ITM 2mg:Only 2mg of morphine was administered intrathecally
Sponsors
Meishan maternal and child care service center
Eligibility
Sex/Gender
Female
Age
20 Years to 35 Years
Inclusion criteria
Inclusion criteria: 1 The patient's age is 20~35 years old; 2 American Association of Anesthesiologists (ASA) physical condition grade I-II 3 With a BMI of 20 ~ 35 kg/m^2, 4 full-term parturients with cesarean section under spinal anesthesia were selected.
Exclusion criteria
Exclusion criteria: 1 Previous cesarean section >= 3 times, 2 BMI>40 kg/ m^2, 3 Serious heart, lung, liver, kidney and other important organ diseases, contraindications of spinal anesthesia, mental illness or cognitive impairment, 4 allergic or contraindications to drugs used in this study, and refusal to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total opioid consumption (MME) of morphine mg equivalent at 72h after operation.; | — |
Secondary
| Measure | Time frame |
|---|---|
| The NRS scores of patients at rest and during exercise at 6, 12, 24, 48 and 72 hours after operation.;Time of first anal exhaust after operation;Postoperative hospitalization time;Ramsay sedation score at 24, 48 and 72 hours after operation.;Incidence of postoperative adverse reactions;Satisfaction rate of analgesia; | — |
Countries
China
Contacts
Public ContactLiu Li
Meishan maternal and child care service center
Outcome results
None listed