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脂质体布比卡因用于剖宫产术后局部浸润镇痛的ED95:一项随机对照试验

 

Authors Liu J, Zhang Y, Liu L, Zhang W 

Received 2 October 2025

Accepted for publication 25 January 2026

Published 6 February 2026 Volume 2026:20 571871

DOI https://doi.org/10.2147/DDDT.S571871

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 1

Editor who approved publication: Dr Muzammal Hussain

Jiafei Liu,1,* Yang Zhang,1,* Lin Liu,2 Wangping Zhang3 

1Department of Anesthesiology, Ninghai First Hospital, Ninghai, Zhejiang, 315600, People’s Republic of China; 2Department of Anesthesiology, Zhejiang Rongjun Hospital, Jiaxing, Zhejiang, 314000, People’s Republic of China; 3Department of Anesthesiology, Women and Children’s Hospital of Jiaxing University, Jiaxing, Zhejiang, 314000, People’s Republic of China

*These authors contributed equally to this work

Correspondence: Lin Liu, Email 13967358623@163.com Wangping Zhang, Email zhan650679@163.com

Background: At present, the median effective dose (ED50) and effective dose for 95% of patients (ED95) of liposomal bupivacaine for local infiltration analgesia following cesarean section have not been established. This study aimed to determine the ED95 of liposomal bupivacaine for local infiltration analgesia in patients following cesarean section.
Methods: A total of 72 primiparas scheduled to undergo lower segment cesarean sections, were randomly divided into four groups: Group 1, Group 2, Group 3, and Group 4, with 18 cases in each group. When suturing to the fascial layer, the four groups received 66.5 mg, 133 mg, 199.5 mg, and 266 mg of liposomal bupivacaine for incision infiltration analgesia, respectively. The pain intensity at coughing was assessed using a visual analog scale (VAS) within 48 hours postoperatively. Effective analgesia was defined as a VAS score of ≤ 3. The ED95 and the 95% confidence interval (CI) of liposomal bupivacaine for local infiltration analgesia after cesarean section were calculated using probit regression analysis.
Results: The ED50 and ED95 of liposomal bupivacaine for local infiltration analgesia following cesarean section were 128.5mg (95% CI, 106.8 to 194.4mg) and 206.1 (95% CI, 178.6 to 262.5mg), respectively.
Conclusion: This study indicated that the ED95 of liposomal bupivacaine for local infiltration analgesia following cesarean section was 206.1 mg (95% CI, 178.6, 262.5 mg). (registration number: ChiCTR2300076315).

Keywords: liposomal bupivacaine, cesarean section, incision infiltration, postoperative analgesia, ED95