SO SÁNH HIỆU QUẢ GIẢM ĐAU SAU MỔ LẤY THAI CỦA GÂY TÊ NGOÀI MÀNG CỨNG BẰNG ROPIVACAIN NỒNG ĐỘ 0.1% VỚI 0.125% PHỐI HỢP FENTANYL

Abstract

Cross-sectional descriptive study, 150 women analgesia postoperative with epidural anesthesia with ropivacaine 0.1% and ropivacaine 0.125% combined with 2mcg/ml fentanyl divided into 2 groups. Results: To achieve the postoperative analgesic effect of Ropivacaine 0.125% is equivalent to ropivacaine 0.1% (VAS point static and  dynamic equivalent status in the first 24 hours and 24 hours the next). The consumption of ropivacaine in the 2 groups in the first 24 hours was similar (The total amount of drug used in the first 24 hours of the ropivacaine 0.125% and ropivacaine 0.1% groups were 185.6 ± 47.2 mg and 181.3, respectively. ± 35.9); ropivacaine 0.125% causes more leg numbness than ropivacaine 0.1% (The rate of leg numbness in the ropivacaine 0.125% and ropivacaine 0.1% groups is 13.3% and 1.33%, respectively), while the side effects other two group did not differ. Conclusion: Ropivacaine 0.125% has an equivalent analgesic effect after cesarean section compared to ropivacaine 0.1% for epidural anesthesia. However, the concentration of ropivacaine 0.125% causes more numbness in the legs than ropivacaine 0.1%.