After cesarean section
Conditions
Interventions
Observation group:After cesarean section, bilateral quadratus lumborum block and transverse abdominis plane block were performed, and the patients were connected to the patients intravenous self-contr
Control group:After bilateral transverse abdominis plane block after cesarean section, an intravenous self-controlled analgesia (PCIA) pump set to a standard background dose will be connected
Sponsors
Leshan City Central District Maternal and Children Health Hospital
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Age 18-45 years old; 2. ASA classification I-II; 3. Elective cesarean section under combined spinal-epidural anesthesia; 4. Single pregnancy >=37 weeks; 5. Voluntarily participate and sign written informed consent.
Exclusion criteria
Exclusion criteria: 1. BMI > 40 kg/m^2 (based on puncture safety and feasibility of ultrasound imaging); 2. Known allergies to study drugs such as ropivacaine, sufentanil, or nalbuphine; 3. Skin infection at the puncture site; 4. Presence of cognitive impairment, history of psychiatric disorders, or inability to understand pain scoring tools; 5. Long-term use of opioids or a history of chronic pain; 6. Complicated by severe central/peripheral nervous system diseases, cardiovascular diseases, or liver and kidney dysfunction; 7. Severe pregnancy complications (such as preeclampsia, HELLP syndrome).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative incision pain score;Postoperative contraction pain score;Postoperative rescue analgesia rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to first salvage analgesia after surgery;The number of effective compressions of the analgesic pump after surgery;Postoperative recovery indicators;Incidence of adverse reactions;Postoperative analgesic satisfaction; | — |
Countries
China
Contacts
Public ContactLinjing Li
Leshan City Central District Maternal and Children Health Hospital
Outcome results
None listed