Abstract：
OBJECTIVES:The ultrasound-guided transversus abdominis plane (TAP) block is a supporting method of pain relief after different types of surgical and gynecological procedures. The aim of the present study was to evaluate the analgesic effects of the TAP-block in patients undergoing caesarean section. MATERIAL AND METHODS:88 women undergoing elective caesarean section under spinal anaesthesia were prospectively randomized into two groups. In the first group, an ultrasound-guided bilateral TAP block was performed using 40 mL 0.25% bupivacaine, while the second group was treated without a regional nerve block. Both groups received a standard analgesia protocol with intravenous paracetamol administered every 6 hours and intravenous tramadol on-demand, delivered using the Patient Controlled Analgesia (PCA) method. Pain intensity was assessed according to the visual analogue scale (VAS) directly after the TAP block and at 3, 6 and 12 hours postoperatively. Any patient complaints and side-effects during the postoperative period were recorded. RESULTS:The TAP block resulted in a significant reduction of pain intensity using the visual analogue scale after 3, 6 and 12 hours (p < 0.05) and a significant decrease in tramadol administration (p < 0.05) during the first 12 hours postoperatively. No significant differences in the heart rate and blood pressure were noted between groups (p > 0.05). There were no complications related to the TAP block. CONCLUSIONS:The TAP block is a safe and effective adjunctive method of pain relief after caesarean delivery.
journal_name
Ginekol Poljournal_title
Ginekologia polskaauthors
Kupiec A,Zwierzchowski J,Kowal-Janicka J,Goździk W,Fuchs T,Pomorski M,Zimmer M,Kübler Adoi
10.5603/GP.a2018.0072subject
Has Abstractpub_date
2018-01-01 00:00:00pages
421-424issue
8eissn
0017-0011issn
2543-6767pii
VM/OJS/J/58401journal_volume
89pub_type
杂志文章,随机对照试验abstract：:The presence of estrogens, their function and targets in male reproductive tract are still not fully understood. Recent studies, basic and clinical indicate an important role of estrogens during germ cell development. In this study the efforts have been made to immunolocalize aromatase P450 as well as estrogen recepto...
journal_title：Ginekologia polska
pub_type： 杂志文章
doi：
更新日期：1998-06-01 00:00:00
abstract：OBJECTIVES:Paternal lymphocytes immunization has been proposed for several years as an efficient treatment for unexplained Recurrent Spontaneous Abortion (RSA), however precise mechanism that underline the benefits of this immunotherapy is still unclear. DESIGN:The aim was to study the influence of paternal lymphocyte...
journal_title：Ginekologia polska
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更新日期：2001-12-01 00:00:00
abstract：OBJECTIVES:Therapeutic hypothermia TH became broadly used in the management of the asphyxiated newborns. Although two cooling methods are used, so far the superiority of none of them has been established. The purpose of the study is to compare two cooling methods: selective head cooling (SHC) and whole body cooling (WB...
journal_title：Ginekologia polska
pub_type： 杂志文章,多中心研究
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journal_title：Ginekologia polska
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更新日期：2006-05-01 00:00:00
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journal_title：Ginekologia polska
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journal_title：Ginekologia polska
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journal_title：Ginekologia polska
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journal_title：Ginekologia polska
pub_type： 杂志文章
doi：
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journal_title：Ginekologia polska
pub_type： 杂志文章
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更新日期：1992-02-01 00:00:00
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journal_title：Ginekologia polska
pub_type： 杂志文章
doi：
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journal_title：Ginekologia polska
pub_type： 杂志文章
doi：
更新日期：2007-07-01 00:00:00
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journal_title：Ginekologia polska
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journal_title：Ginekologia polska
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journal_title：Ginekologia polska
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journal_title：Ginekologia polska
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更新日期：2003-01-01 00:00:00
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journal_title：Ginekologia polska
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journal_title：Ginekologia polska
pub_type： 杂志文章
doi：
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