摘要
目的探讨硬膜外自控镇痛(PECA)对子痫前期病人剖宫产术后的影响。方法选择子痫前期剖宫产终止妊娠的产妇120例,均在腰-硬联合麻醉下实施手术,根据术后镇痛方法随机分为三组,每组40例:A组术后给予硬膜外自控镇痛;B组术后肌注盐酸哌替啶+异丙嗪;C组为对照组,术后未采取任何镇痛措施。观察三组术后2、6、12、24、48h的镇痛效果及血压;观察各组术后产后子痫及呼吸抑制、恶心、呕吐、皮肤瘙痒、嗜睡、头晕等不良反应的发生情况。结果 A组术后不同时间镇痛效果均明显优于B组和C组(F分别=1.58、2.15,P均<0.05),术后12、24、48h收缩压及舒张压均较B组和C组低(F分别=2.07、2.58、2.32、1.99,P均<0.05),无产后子痫发生。结论 PCEA能安全有效地应用于子痫前期剖宫产患者,能产生良好镇痛效果,而且能有效降低血压,防止产后子痫发生。
Objective To explore the effect of patient controlled epidural analgesia （PCEA） on patients with preeclampsia underwent caesarian section. Methods A total of 120 patients with pre-eclampsia underwent caesarian section were randomly divided into 3 groups： A group, B group and C group. The patients in group A were administrated PCEA; the patients in group B were intramuscular injected with promethazine and pethidine hydrochloride; the patients in group C were not for postoperative analgesia. Analgesia effect, blood pressure and complications at 2 hours, 6 hours, 12 hours, 24 hours, 48 hours after the operation were recorded in three groups. Results The postoperative analgesia effect of group A was significantly better than that of group B and group C （F=1.58,2.15, P〈0.05）; the blood pressure in group A was lower than that in group B and group C（F=2.07,2.58,2.32,1.99,P〈0.05）; no postpartum eclampsia occurring. Conclusions PECA on patients with pre-eclampsia underwent caesarian section can exact analgesic effect and can effectively control the disease, also can reduce postoperative severe complications.
出处
《全科医学临床与教育》
2011年第2期171-173,共3页
Clinical Education of General Practice
关键词
硬膜外自控镇痛
剖宫产
子痫前期
patient controlled epidural analgesia
cesarean section
pre-eclampsia
