摘要
目的观察剖宫产术后使用硬膜外麻醉自控镇痛 (PCEA)对产妇初乳分泌及肠排气的影响。方法选择6 0例剖宫产手术孕妇 ,在硬膜外麻醉下行剖宫产术 ,术毕随机分两组 :镇痛组和对照组 ,镇痛组在术后使用芬太尼硬膜外麻醉自控镇痛 (PCEA) ,术后随访 72h。结果镇痛组镇痛效果明显优于对照组 (P <0 .0 5 ) ,镇痛组初乳时间明显早于对照组 (P <0 .0 5 ) ,镇痛组肠排气时间明显早于对照组 (P <0 .0 5 ) ,两组宫缩无明显差异 ,镇痛组睡眠好 ,术后仅 1例发生呕吐 ,无其它并发症。结论剖宫产术后采用芬太尼PCEA ,镇痛效果确切安全 ,促进早泌乳 ,产后恢复较好 。
Objective To observe the effect of pain control by epidural anesthesia (PCEA) after cesarean section on parturient colostrum and intestine exhaust.Method 60 patients were selected to conduct cesarean section by epidural anesthesia, then divided into two group, pain ease and control group, pain ease group was given Fentanest for pain control by epidural anesthesia (PCEA), fellow up 72 hours after operation.Results The pain ease effect in pain ease group is better than that of control group ( P <0 05) The time for colostrum in pain ease group are earlier than that of control ( P <0 05). The time for intestine exhaust in pain ease group is earlier than that of control group ( P <0 05). there are no difference in uterine contraction in both group. no complication and good sleeping was found in pain ease group.Conclusion The application of Fentanst PCEA after cesarean section are safe and effective, and improving early lactation, exhaust and recovery after given birth.
出处
《护士进修杂志》
北大核心
2000年第12期893-894,共2页
Journal of Nurses Training
关键词
剖宫产术
初乳
肠排气
硬膜外麻醉
自控镇痛
Cesarean section Pain ease Fentanest Colostrum intestine exhaust
