中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2012年
13期
1-3
,共3页
自控镇痛%剖宫产%产后%抑郁症
自控鎮痛%剖宮產%產後%抑鬱癥
자공진통%부궁산%산후%억욱증
Patient-controlled analgesia%Cesarean section%Postpartum%Depression
目的 探讨硬膜外自控镇痛(PCEA)对剖宫产产后抑郁症发病率的影响.方法 将256例单胎足月初次剖宫产妇随机分为研究组]30例和对照组126例,研究组产妇术后保留硬膜外导管与镇痛泵连接,注入镇痛液镇痛,对照组产妇术后拔管,术后4～6 h肌肉注射盐酸哌替啶100 mg,6h后重复1次,总量200 mg.术后观察48h,用放射免疫分析法测定产前、产后24,48h血浆催乳素(PRL)的浓度.产后6周采用爱丁堡产后抑郁量表(EPDS)对2组产妇进行评定,比较2组产妇产后抑郁症的发病率,并进行比较.结果 研究组产妇产后24,48 h血浆PRL水平均明显高于对照组,研究组产妇抑郁症发病率为6.15％,而对照组产妇抑郁症发病率为16.67％,2组比较差异显著.结论 剖宫产术后应用自控镇痛可明显地降低产妇产后抑郁症的发病率,对预防产后抑郁症的发生具有非常重要的现实意义.
目的 探討硬膜外自控鎮痛(PCEA)對剖宮產產後抑鬱癥髮病率的影響.方法 將256例單胎足月初次剖宮產婦隨機分為研究組]30例和對照組126例,研究組產婦術後保留硬膜外導管與鎮痛泵連接,註入鎮痛液鎮痛,對照組產婦術後拔管,術後4～6 h肌肉註射鹽痠哌替啶100 mg,6h後重複1次,總量200 mg.術後觀察48h,用放射免疫分析法測定產前、產後24,48h血漿催乳素(PRL)的濃度.產後6週採用愛丁堡產後抑鬱量錶(EPDS)對2組產婦進行評定,比較2組產婦產後抑鬱癥的髮病率,併進行比較.結果 研究組產婦產後24,48 h血漿PRL水平均明顯高于對照組,研究組產婦抑鬱癥髮病率為6.15％,而對照組產婦抑鬱癥髮病率為16.67％,2組比較差異顯著.結論 剖宮產術後應用自控鎮痛可明顯地降低產婦產後抑鬱癥的髮病率,對預防產後抑鬱癥的髮生具有非常重要的現實意義.
목적 탐토경막외자공진통(PCEA)대부궁산산후억욱증발병솔적영향.방법 장256례단태족월초차부궁산부수궤분위연구조]30례화대조조126례,연구조산부술후보류경막외도관여진통빙련접,주입진통액진통,대조조산부술후발관,술후4～6 h기육주사염산고체정100 mg,6h후중복1차,총량200 mg.술후관찰48h,용방사면역분석법측정산전、산후24,48h혈장최유소(PRL)적농도.산후6주채용애정보산후억욱량표(EPDS)대2조산부진행평정,비교2조산부산후억욱증적발병솔,병진행비교.결과 연구조산부산후24,48 h혈장PRL수평균명현고우대조조,연구조산부억욱증발병솔위6.15％,이대조조산부억욱증발병솔위16.67％,2조비교차이현저.결론 부궁산술후응용자공진통가명현지강저산부산후억욱증적발병솔,대예방산후억욱증적발생구유비상중요적현실의의.
Objective To explore the influence of patient-controlled epidural analgesia(PCEA) on incidence of postpartum depression after cesarean section. Methods 256 cases of singleton term primary cesarean delivery were randomly divided into the study group( 130 cases)and the control group( 126 cases).The study group retained analgesia pump connected with epidural catheter,analgesic liquid was injected.In the control group,epidural catheter was removed,and was given intramuscular injection of pethidine hydrochloride 100 mg 4～6 h after operation,repeated 6 h later,total dosage was 200 mg.Postoperative observation time was 48h.Plasma prolactin(PRL) concentration was determined by radioimmunoassay in prenatal,postnatal 24 h and 48 h.Edinburgh postnatal depression scale (EPDS) was used to assess depression state 6 weeks postpartum in the two groups.The incidence of postpartum depression was compared between two groups. Results The plasma PRL level in the study group was significantly higher than the control group 24 h,48 h postpartum.The incidence rate of depression in the study group was 6.15％,while was 16.67％ in the control group,the differences were statistically significant. Conclusions The application of PCEA after cesarean section can significantly reduce the incidence of postpartum depression,and has very important practical significance in preventing the incidence of postpartum depression.
