Effect of butrophanol and tramadol combined with ropivacaine on PCEA after cesarean

【Objective】To analyze the analgesia effect and influence to PRL of butrophanol and tramadol used for PCEA combined with ropivacaine after cesarean.【Methods】A total of 160 cases with selective cesarean were divided into butrophanol group(group B) and tramadol group(group T) randomly.After surgery 48 h PCEA was done,group B was given 0.15% ropivacaine + 40 μg/mL butrophanol,while group T was given 0.15% ropivacaine + 4 mg/mL tramadol.VAS score,total dosage,bonus time,Ramsay score,adverse effect occurrence and concentration changes of serous PRL were observed.【Results】T2-T5 VAS scores of group B were lower than those of group T(P 0.05).Total dosage and bonus time of group B were also lower(P 0.05),T2-T5 Ramsay scores of group B were lower(P 0.05).Serious complications were not observed.Incidence of nausea and vomiting of group T was higher than that of group B(P 0.05).Postoperative concentrations of serous PRL in both groups were higher than preoperative ones.【Conclusions】Butrophanol and tramadol combined with ropivacaine used for PCEA after cesarean are both safe and effective with few adverse effects,analgesia effect of butrophanol is stronger than that of tramadol,with milder sedative effect and lower incidence of nausea and vomiting.