Cesarean Section
Conditions
Interventions
EM group:2.5 mg of morphine was administered via the epidural catheter during skin closure
LB-TFP group:After surgery, the parturient was placed in the supine position. The skin was disinfected and draped, and the ultrasound probe was covered with a disposable sterile protective sheath. A l
once the needle tip reached the space between the thoracolumbar fascia and the transversus fascia, the position was confirmed using the "hydrodissection technique." Aspiration revealed no blood, and 1
LB+EM group:At skin closure, 1.5 mg of morphine was administered through the epidural catheter, and the block was performed identically to the LB-TFP group after surgery.
Sponsors
Jinan Third People's Hospital
Eligibility
Sex/Gender
Female
Age
20 Years to 50 Years
Inclusion criteria
Inclusion criteria: 1. Age>=20 years? 2. Full-term pregnancy (gestational age between 37 and 42 weeks)? 3. ASA physical status classification of I or II? 4. Patients scheduled for cesarean section under neuraxial anesthesia?
Exclusion criteria
Exclusion criteria: 1. Refusal to sign the informed consent form 2. Relative contraindications to neuraxial anesthesia 3. Allergy to study drugs 4. Severe hepatic or renal insufficiency 5. History of severe psychiatric illness or other conditions preventing cooperation with assessment or trial 6. Inadequate intraoperative analgesia requiring rescue analgesia 7. Concurrent other surgeries 8. Number of previous cesarean sections >= 3 9. Pre-pregnancy body mass index > 45 kg/m^2
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ObsQoR-11 scores postoperatively;The first time an interval of intravenous supplemental analgesia is required;Timing and frequency of diclofenac sodium administration postoperatively;First time to get out of bed successful;Time to first spontaneous voiding;Time to first passage of flatus;Incidence of adverse events (including somnolence, respiratory depression, nausea, vomiting, pruritus, urinary retention, hypotension, and puncture site hematoma);Patient satisfaction at 72 hours postoperatively; | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain scores;Dosage of sufentanil administered at 24 hours postoperatively; | — |
Countries
China
Contacts
Public ContactQin Wenwen
Jinan Third People's Hospital
Outcome results
None listed