罗哌卡因复合右美托咪定在腹横筋膜平面阻滞剖宫产术后镇痛中的应用效果

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Abstract Objective To observe the effect of Ropivacaine combined with Dexmedetomidine on analgesia after cesarean with abdominal transverse fascia plane block. Methods A total of 90 women who underwent cesarean with elective lumbar and spinal anesthesia from July 2018 to July 2019 were selected as the research objects and randomly divided into observation group and control group according to the order of admission, with 45 cases in each group. Ultrasoundguided transverse fascia plane block was performed in both groups. The women in the control group received Ropivacaine for analgesia. The women in the observation group combined with Dexmedetomidine for analgesia on the basis of the control group. The two groups both received patient controlled intravenous analgesia (PCIA). The postoperative visual analogue scale (VAS), the postoperative sedation score (Ramsay score)，the number of PCIA and the total incidence of adverse reactions within 24 hours after surgery were compared. Results The VAS scores at 8, 12 and 24 h after obstetrics in the observation group were lower than those of the control group, and the differences were statistically significant (P＜0.05). The number of times of analgesia pump pressure at 4, 8, 12 and 24 h after obstetrics were lower than those of the control group, and the differences were statistically significant (P＜0.05). The Ramsay scores of the two groups at 8, 12 and 24 h after obstetrics were compared, and the differences were not statistically significant (P＞0.05).There was no significant difference in the total incidence of adverse reactions between the two groups (P＞0.05). Conclusion Ropivacaine combined with Dexmedetomidine for patients with abdominal transverse fascia plane block cesarean has good postoperative analgesia effect and can reduce the overall incidence of postoperative adverse reactions.

Key words： Ropivacaine Dexmedetomidine Caesarean Analgesia

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	ZHENG Wen-zhong
	LI Chang-hong
	YAN Xue-tao

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ZHENG Wen-zhong,LI Chang-hong,YAN Xue-tao. Application effect of Ropivacaine combined with Dexmedetomidine on analgesia after cesarean with abdominal transverse fascia plane block[J]. 中国当代医药, 2020, 27(25): 138-140.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I25/138

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