剖宫产后腹横肌平面神经阻滞在产后康复中的作用：机制、证据与临床应用进展

Role of Transversus Abdominis Plane Nerve Block in Postpartum Rehabilitation after Cesarean Section: Mechanism, Evidence and Clinical Application Progress

摘要: 剖宫产术后疼痛是影响产妇康复和生活质量的关键问题，不仅延缓身体功能恢复和日常活动的重建，还可能损害母婴互动关系，影响产妇心理健康，并使母乳喂养过程复杂化。腹横肌平面阻滞作为一种超声引导的区域神经阻滞技术，近年来在剖宫产后镇痛中受到广泛关注。本综述旨在系统阐述TAP阻滞在剖宫产后康复中的作用机制、临床证据及应用进展。此外，对TAP阻滞在临床推广中面临的挑战进行讨论。TAP阻滞作为剖宫产后镇痛的有效补充手段，能够提升产后镇痛效果，促进功能康复与生活质量改善。在产后康复领域，TAP阻滞具有重要的临床实用价值和发展前景。

Abstract: Post-cesarean section pain is a key issue affecting maternal recovery and quality of life, not only delaying the recovery of physical function and the re-establishment of daily activities, but also potentially impairing mother-infant interaction, affecting maternal mental health, and complicating the breastfeeding process. Transversus abdominis plane nerve block, as an ultrasound-guided regional nerve block technique, has received widespread attention in post-cesarean analgesia in recent years. The aim of this review is to systematically describe the mechanism of action, clinical evidence, and progress of application of TAP block in post-caesarean section rehabilitation. In addition, the challenges faced in the clinical promotion of TAP block are discussed. TAP block, as an effective complementary means of post-caesarean analgesia, can enhance the effect of postpartum analgesia and promote functional rehabilitation and quality of life improvement. In the field of postpartum rehabilitation, TAP block has important clinical practical value and development prospects.