Clinical Study Of Different Concentrations Of Ropivacaine Mesylate Combined With Butorphanol For Epidural Analgesia After Cesarean Section

Objective Through the study summarized the different concentration of Ropivacaine Mesylate combined Bhutto Fino for postoperative analgesia is concentration, is conducive to the actual work to provide convenience for clinical.Method Select the part of cesarean section, were randomly divided into three groups,combined spinal epidural anesthesia and postoperative analgesia pump by group are respectively provided with different concentrations of Ropivacaine Mesylate combined Bhutto Fino liquor after operation, through the postoperative follow-up visit, respectively in the postoperative 4 h, 8 h, 12 h, 24 h,48 h in analgesia, comfort and movement block rating. At the same time to observe the side effects of nausea and vomiting, itching and respiratory inhibition Based on the summary rating after operation, obtains the different concentration of Ropivacaine Mesylate combined Bhutto butorphanol best dose for epidural analgesia after operationResult The results of this study were compared to those of 0.119%, 0.238%, 0.357%application of Ropivacaine Mesylate combined with 0.006% Bhutto butorphanol postoperative analgesia in patients with cesarean section in. With the increase of the concentration of Ropivacaine Mesylate, quiet, maternal uterine and the activities of the VAS score decreased gradually improve, analgesic effect. The use of 0.119%Ropivacaine Mesylate +0.006% Bhutto butorphanol maternal quiet supine when low VAS score(mostly less than 3 points), and uterine and activities of higher VAS score(VAS>3points for most of the session), suggesting that the analgesic effect of the concentration of uterine and earth activities is not perfect; and the use of 0.238%~~0.357% of Ropivacaine Mesylate, maternal whether quiet, uterine or activities are more satisfactory analgesic effect, on lower extremity less impact, maternal rarely complained of numbness in the lower limbs; with the increased concentration of ropivacaine, motor block time prolonged,the degree of emphasis, but could in the delivery of the placenta after 4 h close to normal,walking under 24 h catheter removal and recovery without effect of maternal postoperative. Compared with three different concentrations of ropivacaine and no postoperative analgesia, involution of uterus, nausea, vomiting, gastrointestinal function recovery and there was no significant difference between the.Conclusion Considering the effect of analgesia, comfort, motor block, and adverse reactions, suggesting that epidural anesthesia for cesarean section followed by 0. 125%ropivacaine combined with fentanyl for postoperative analgesia is appropriate.