Postoperative low back pain after cesarean section
Conditions
Interventions
Nalbuphine combined with ropivacaine group:In group NR, 4 mL of mixture of 0.5 % ropivacaine 20 mg and nalbuphine 10 mg was given, and local infiltration was performed layer by layer along the punctur
Ropivacaine group:0.5% ropivacaine 20 mg was infiltrated layer by layer along the epidural needle anesthesia puncture path.
Sponsors
Luxian People 's Hospital
Eligibility
Sex/Gender
Female
Age
20 Years to 38 Years
Inclusion criteria
Inclusion criteria: 1. Primiparous women aged 20–38 years with full-term singleton pregnancy; 2. ASA physical status classification II–III; 3. Scheduled for cesarean section under combined spinal-epidural anesthesia; 4. No history of chronic low back pain, depression, neurological or psychiatric disorders; 5. Signed informed consent obtained preoperatively.
Exclusion criteria
Exclusion criteria: 1. Allergy to nalbuphine or ropivacaine; 2. Contraindications to spinal anesthesia; 3. Severe cardiac, hepatic, or renal dysfunction; 4. History of mental illness or long-term antidepressant treatment; 5. Pregnancy with severe complications (e.g., preeclampsia, placental abruption); 6. Refusal to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Severity (VAS score) and incidence of acute pain at rest and during activity;Severity (VAS score) and incidence of chronic low back pain; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postpartum Anxiety (SAS Score);PCIA sufentanil dosage, first press time, effective press count;Ramsay Sedation Score;birth weight, Apgar score;Puncture site pain;Postpartum Depression and Incidence Rate (EPDS Score);QoR-15 score; | — |
Countries
China
Contacts
Public ContactHe Tianping
Luxian People 's Hospital
Outcome results
None listed