Clinical Effect of Fentanyl Combined with Ropivacaine for Cesarean Section Postoperative Epidural Analgesia

Objective:To compare analgesic effect and side effects of morphine with different concentrations of fentanyl both composite ropivacaine for cesarean section epidural analgesia.Methods:120 ASA Ⅰ ~Ⅱ parturient women undergoing cesarean section received PCEA for 48 hours after operation,randomly divided into control group(M group),the observation group(Group F1,F2,F3 group).The PCEA solution contained of 0.178 8% ropivacaine plus morphine 0.1mg/ml,or fentanyl(3μg/ml,4μg/ml and 5μg/ml).Fixed analgesia pump infusion rate of 2ml/h,at different time follow-up to assess the VAS score of rest pain,dynamic pain,modified Bromage score and side effects.Results:The F3 and the M group have satisfactory analgesic effect,but the side effects of M group was significantly higher than other groups(P0.05).Conclusion:5μg/ml fentanyl plus 0.178 8% ropivacaine for epidural analgesia have exact effect with low incidences of side effects,which is worthy of clinical promotion.