Analgesic Efficacy of Pfannenstiel Incision Infiltration withRopivacaine 7.5 mg/mL for Caesarean Section

[摘要] Background. Pain after Caesarean delivery is partly related to Pfannenstiel incision, which can be infiltrated with local anaesthetic solutions.Methods. A double- blind randomized control trial was designed to assess the analgesic efficacy of 7.5 mg/mL ropivacaine solution compared to control group, in two groups of one hundred and forty four parturients for each group, who underwent Caesarean section under spinal anaesthesia: group R (ropivacaine group) and group C (control group). All parturients also received spinal sufentanil (2.5 μg).Results. Ropivacaine infiltration in the Pfannenstiel incision for Caesarean delivery before wound closure leads to a reduction of 30% in the overall consumption of analgesics (348 550 mg for group R versus504 426 mg for group C withP<.05), especially opioids in the first 24 hours, but also significantly increases the time interval until the first request for an analgesic (4 h 20 min±2 h 26 for group R versus 2 h 42±1 h 30 for group C). ThePvalues for the two groups were:P<.0001for paracetamol,P<.0001for ketoprofen andPfor nalbuphine which was the most significant. There is no significant difference in the threshold of VAS in the two series.Conclusion. This technique can contribute towards a programme of early rehabilitation in sectioned mothers, with earlier discharge from the post-labour suite.

[学科分类] 外科医学