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March 14, 2026Journal of Pain Research0 citationsOpen Access

Comparing Ropivacaine with Hydromorphone in Ultrasound-Guided TAP Block for Cesarean Section

Effects of Transverse Abdominis Plane Block with Ropivacaine-Hydromorphone versus. Ropivacaine in Cesarean Section: A Randomized Controlled Trial

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Authors

JZJie ZhangDZDan ZhangYWYi Wang

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Overview

Randomized trial shows enhanced postoperative analgesia and satisfaction in cesarean section with ropivacaine and hydromorphone, indicating improved management.

Key Points

  • To compare efficacy and safety of TAP block with ropivacaine combined with hydromorphone versus ropivacaine alone for analgesia.
  • Randomized controlled trial with 90 parturients scheduled for elective cesarean section.
  • Experimental group received TAPB with ropivacaine and hydromorphone; control group received ropivacaine alone.
  • Primary outcome measured was time to first rescue analgesia; secondary outcomes included PCA usage and satisfaction.
  • Time to first PCA use was longer in the experimental group (7.32 hours vs. 3.49 hours, p < 0.001).
  • Lower PCA consumption observed at 4, 12, 24, and 48 hours post-TAPB for the experimental group (p < 0.05).
  • Numerical rating scale scores were significantly lower in the experimental group at 4 and 12 hours (p < 0.05).
  • No significant differences in serum prolactin levels or adverse reactions between groups.

Cite This Study

Zhang et al. (2026) studied this question.

synapsesocial.com/papers/69b4ad7918185d8a39800e26https://doi.org/10.2147/jpr.s592353
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