Ropivacaine hydrochloride with fentanyl for cesarean section Kayin Jia Efficacy of postoperative analgesia.doc

 PAGE \* MERGEFORMAT 3 Ropivacaine hydrochloride with fentanyl for cesarean section Kayin Jia Efficacy of postoperative analgesia [Keywords:] ropivacaine Efficacy of fentanyl analgesia after cesarean section To explore the ropivacaine and fentanyl mixed controlled epidural analgesia after cesarean section applies to the effect, safety and adverse reactions. The obstetric hospital in 2007 caesarean section analysis of 200 cases reported as follows. 1 Materials and Methods 2007 in our hospital, 200 cases of obstetric cesarean delivery in all patients: ASA ~ , aged 22 to 36 years old, weighing 49 ~ 75kg, are in the epidural anesthesia, postoperative epidural technique implemented After the pain, pain with injection pump, ropivacaine hydrochloride 150mg + 0.2mg + fentanyl mixture of saline to the 100ml, background traffic 2ml / h 48h analgesic effect, 2 times a day patient visits were recorded, analgesia, pulse, respiration, heart rate, blood pressure, pulse oxygen saturation, drowsiness, urinary retention, anal discharge and lower limb activities, etc., analgesic effect of using visual analogue (VAS score. VAS score: 0, painless, and 10 severe pain, “pain is divided into 3 good, 3 to 4 is divided into general satisfaction,gt; = 5 is divided into pain worse. 2 Results Analgesic effective rate of 99.7%, VAS score: 0 78%, “17% of 3, 3 to 4 minutes, 4%,gt; = 5 1%. Adverse reaction statistics: 4% somnolence, urinary retention of 2%, mild lower extremity weakness for 1% of all patients no respiratory depression, blood pressure, heart rate steady, pulse oxygen saturationgt; = 97%. 3 Discussion Is well known that pain can produce a series of pathological and physiological changes are closely associated with postoperative complications, impact on surgical outcomes, increase patient suffering, cause insomnia, limited mobility, the local organ recovery slow, but can produce emergency response to heart rate, blood pressure, rapid breathing, increas