罗哌卡因切口浸润联合舒芬太尼和地佐辛静脉输注对剖宫产术后宫缩痛和早期恢复的影响

Impact of Ropivacaine Incision Infiltration Combined with Intravenous Infusion of Sufentanil and Dezocine on Uterine Contraction Pain and Early Recovery After Cesarean Section

目的 探讨罗哌卡因切口浸润联合舒芬太尼和地佐辛静脉输注对剖宫产术后宫缩痛和早期恢复的影响。方法 100例剖宫产产妇分为两组,A组术后给予罗哌卡因切口浸润镇痛,B组给予罗哌卡因切口浸润联合舒芬太尼和地佐辛静脉输注镇痛。比较两组的术后疼痛程度、恢复指标以及不良反应。结果 术后12、 24 h, B组的切口痛VAS评分、宫缩痛VAS评分均显著低于A组(P<0.05)。两组的术后各项恢复指标比较,差异无统计学意义(P>0.05)。B组的不良反应发生率显著低于A组(P<0.05)。结论 罗哌卡因切口浸润联合舒芬太尼和地佐辛静脉输注应用于剖宫产术后镇痛的效果显著,且对术后恢复无影响,不良反应少。

Objective To explore the impact of ropivacaine incision infiltration combined with intravenous infusion of sufentanil and dezocine on uterine contraction pain and early recovery after cesarean section. Methods 100 puerperae with cesarean section were divided into two groups. After surgery, group A was given ropivacaine incision infiltration for analgesia, and group B was given ropivacaine incision infiltration combined with intravenous infusion of sufentanil and dezocine for analgesia. The postoperative pain degre, recovery indicators and adverse reactions were compared between the two groups. Results At 12 and 24 h after surgery, the VAS scores of incision pain and uterine contraction pain in group B were significantly lower than those in group A(P <0.05). No significant difference was found in postoperative recovery indicators between the two groups(P >0.05). The incidence of adverse reactions in group B was significantly lower than that in group A(P <0.05). Conclusions Ropivacaine incision infiltration combined with intravenous infusion of sufentanil and dezocine applied in analgesia after cesarean section has significant effect, and has no impact on postoperative recovery, with few adverse reactions.