Department of Anesthesia and Intensive Care Medicine, Galway University Hospitals, Galway, Ireland.
Curr Opin Anaesthesiol. 2013 Jun;26(3):268-72. doi: 10.1097/ACO.0b013e328360fa16.
The transversus abdominis plane (TAP) block is a relatively new regional anaesthesia technique that has shown analgesic benefit in abdominal and pelvic surgery. There has been recent interest in expanding this regional technique to enhance analgesia following caesarean delivery.
We will discuss the gross anatomy and neuroanatomy relevant to the TAP, contrast studies looking at the spread of solution within the TAP and the clinical analgesia achieved with the TAP block. We will also present the most recent publications on TAP block analgesia for caesarean delivery and compare the TAP block to intrathecal morphine.
The TAP block significantly improves postoperative analgesia and reduces opioid consumption and opioid-related side-effects in women undergoing caesarean delivery who did not receive intrathecal morphine.
腹横肌平面（TAP）阻滞是一种相对较新的区域麻醉技术，已证明在腹部和骨盆手术中具有镇痛益处。最近人们对扩展这种区域技术以增强剖宫产术后的镇痛产生了兴趣。
我们将讨论 TAP 相关的大体解剖和神经解剖，对比研究 TAP 内溶液扩散以及 TAP 阻滞获得的临床镇痛效果。我们还将介绍 TAP 阻滞用于剖宫产的最新出版物，并将 TAP 阻滞与鞘内吗啡进行比较。
对于未接受鞘内吗啡的剖宫产妇女，TAP 阻滞可显著改善术后镇痛效果，减少阿片类药物的消耗和阿片类药物相关的副作用。
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