摘要
目的探讨剖宫产术后不同方法镇痛的临床效果对比。方法收集2007年9月～2009年3月的孕足月剖宫产手术生产的产妇256例,采取知情同意自愿选择的原则分成A、B、C三组。A组患者92例,采用留置硬膜外麻醉管连接微量泵持续给药镇痛;B组患者83例,采用静脉穿刺行静脉留置针输液镇痛;C组患者81例,采用肌注镇痛药物,即自觉疼痛剧烈时马上给予杜冷丁100mg肌内注射;分析三组产妇48h镇痛效果并进行比较。结果B、C组镇痛效果差异无显著性(P>0.05),A组镇痛效果明显高于B、C两组,差异有显著性(P<0.05)。结论三种方法均可减轻剖宫产术后疼痛,但是留置硬膜外导管24h自控电子镇痛泵连续给药的阵痛效果更加明显,可以大大减轻产妇的疼痛。
Objective To explore the different methods of analgesia after cesarean section clinical effect of contrast. Methods From September 2007 to March 2009 the cesarean section the production of full-term pregnancy of 256 cases of maternal, informed consent to take the principle of voluntary choice is divided into A, B, C three groups,A group of 92 cases of patients, the use of indwelling epidural catheter 24h-controlled analgesia pump for electronic delivery;83 cases of group B patients,intraspinal use of a one-time removal of catheter after in- jection of morphine; 81 cases of group C patients,the use of intramuscular injection of analgesic drugs, severe pain that is consciously dolantin 100rag given as soon as intramuscular injection;three groups of maternal 48h and compare the analgesic effect. Results B,C group of anal- gesic effect of the difference was not significant（P〉 0.05）. A group of analgesic effect was significantlyhigher than B,C groups,there was a sig- nificant difference（P〈0.05）. Conclusion The three methods available to reduce pain after cesarean section,but the indwelling epidural catheter 24h-controlled analgesia pump for the electronic delivery of the pain more pronounced effect, can greatly reduce the maternal pain.
出处
《中国现代医生》
2009年第29期55-56,共2页
China Modern Doctor
关键词
剖宫产术后
镇痛
自控镇痛
After cesarean section
Analgesic
Controlled analgesia
