Postoperative analgesia of cesarean section by buprenorphine hydrochloride combined with low ketamine

Objective To observe the analgesia effects of buprenorphine hydrochloride combined with low ketamine that continued to pump into epidural space,which were used to treat postoperative analgesia of cesarean section and to study their on colostrums and side reactions. Methods Forty patients were at age of 23-35 years and term pregnancy, who were 1-2 grade or emergency.These cases were randomly divided into two groups: group A(study group,n=20) and group B(control group,n=20),group A were treated with buprenorphine hydrochloride(0.1 mg/kg)+ ketamine(1 mg/kg)+NS(coming to 100 ml),which continued to pump into epidural space. Group B were treated with ropivacaine(0.15%)+febtanyl citrate(0.004%)+dexame thasone(0.1%)(coming to 100 ml), which continued to pump into epidural space.We observe postoperative parturients mimic analgesia VAS of visual sense,sedation VAS,lactigenous time and the total degree of satisfaction. Results There were no significant difference between group A and group B about mimic analgesia VAS of visual sense(P>0.05) and lactigenous time(P>0.05),the total degree of satisfaction in group A was higher than that in group B (P<0.05). Conclusions Buprenorphine hydrochloride combined with low ketamine continued to pump into epidural space,which are used to treat postoperative analgesia of cesarean section, show satisfactory analgesia effect, and it is propitious to recovery of posteroprative parturients and did not influence lactation. Key words: Cesarean section ;  Postoperative analgesia ;  Buprenorphine hydrochloride ;  Ketamine ;