国际麻醉学与复苏杂志
國際痳醉學與複囌雜誌
국제마취학여복소잡지
INTERNATIONAL JOURNAL OF ANESTHESIOLOGY AND RESUSCITATION
2010年
2期
123-125,177
,共4页
中药%脐疗%镇痛%功能恢复%术后%剖宫产
中藥%臍療%鎮痛%功能恢複%術後%剖宮產
중약%제료%진통%공능회복%술후%부궁산
Traditional Chinese medicine%Overjuting drugs on omphalus%Pain relief%Maternal recovery%Postoperative period%Cesarean section
目的 观察剖宫产术后中药脐疗镇痛效果及对产妇功能恢复的影响.方法 将我院2006年2月至2007年12月在硬膜外麻醉下行剖宫产的足月初产妇200例,术毕按手术顺序随机等分2组:实验组100例,术后采用中药脐疗镇痛;对照组100例,术后采用硬膜外自控镇痛(patient controlled epidural analgesia,PCEA).观察2组镇痛效果及产妇功能恢复情况.结果 实验组术后12、24、48 h VAS评分与对照组比较差异无统计学意义(P＞0.05);实验组24、48 h宫底高度分别为(-0.78±0.38)cm、(-1.37±0.41)cm,对照组24、48 h宫底高度分别为(-1.15±0.22)cm、(-1.80±0.62)cm,差异有统计学意义;12 h副作用方面比较差异有统计学意义(P＜0.01,P＜0.05),两组患者术后72 h出血量实验组为(151.96±32.33)ml、对照组为(194.94±44.09)ml,差异有统计学意义(P＜0.01);开始床上活动时间实验组和对照组分别为(10.3±3.6)h、(15.6±2.1)h;下床活动时间实验组和对照组分别为(22.7±4.4)h、(31.4±4.0)h;肛门排气时间实验组和对照组分别为(26.1±3.8)h、(47.8±7.2)h,两组比较差异有统计学意义(P＜0.01),自主排尿时间差异无统计学意义(P＞0.05).结论 剖宫产术后使用中药敷脐与采用PCEA相比较,可取得同样满意的镇痛效果,而中药敷脐可使产妇提早起床活动,有利于减少产后出血,促进胃肠功能恢复,值得推广应用.
目的 觀察剖宮產術後中藥臍療鎮痛效果及對產婦功能恢複的影響.方法 將我院2006年2月至2007年12月在硬膜外痳醉下行剖宮產的足月初產婦200例,術畢按手術順序隨機等分2組:實驗組100例,術後採用中藥臍療鎮痛;對照組100例,術後採用硬膜外自控鎮痛(patient controlled epidural analgesia,PCEA).觀察2組鎮痛效果及產婦功能恢複情況.結果 實驗組術後12、24、48 h VAS評分與對照組比較差異無統計學意義(P＞0.05);實驗組24、48 h宮底高度分彆為(-0.78±0.38)cm、(-1.37±0.41)cm,對照組24、48 h宮底高度分彆為(-1.15±0.22)cm、(-1.80±0.62)cm,差異有統計學意義;12 h副作用方麵比較差異有統計學意義(P＜0.01,P＜0.05),兩組患者術後72 h齣血量實驗組為(151.96±32.33)ml、對照組為(194.94±44.09)ml,差異有統計學意義(P＜0.01);開始床上活動時間實驗組和對照組分彆為(10.3±3.6)h、(15.6±2.1)h;下床活動時間實驗組和對照組分彆為(22.7±4.4)h、(31.4±4.0)h;肛門排氣時間實驗組和對照組分彆為(26.1±3.8)h、(47.8±7.2)h,兩組比較差異有統計學意義(P＜0.01),自主排尿時間差異無統計學意義(P＞0.05).結論 剖宮產術後使用中藥敷臍與採用PCEA相比較,可取得同樣滿意的鎮痛效果,而中藥敷臍可使產婦提早起床活動,有利于減少產後齣血,促進胃腸功能恢複,值得推廣應用.
목적 관찰부궁산술후중약제료진통효과급대산부공능회복적영향.방법 장아원2006년2월지2007년12월재경막외마취하행부궁산적족월초산부200례,술필안수술순서수궤등분2조:실험조100례,술후채용중약제료진통;대조조100례,술후채용경막외자공진통(patient controlled epidural analgesia,PCEA).관찰2조진통효과급산부공능회복정황.결과 실험조술후12、24、48 h VAS평분여대조조비교차이무통계학의의(P＞0.05);실험조24、48 h궁저고도분별위(-0.78±0.38)cm、(-1.37±0.41)cm,대조조24、48 h궁저고도분별위(-1.15±0.22)cm、(-1.80±0.62)cm,차이유통계학의의;12 h부작용방면비교차이유통계학의의(P＜0.01,P＜0.05),량조환자술후72 h출혈량실험조위(151.96±32.33)ml、대조조위(194.94±44.09)ml,차이유통계학의의(P＜0.01);개시상상활동시간실험조화대조조분별위(10.3±3.6)h、(15.6±2.1)h;하상활동시간실험조화대조조분별위(22.7±4.4)h、(31.4±4.0)h;항문배기시간실험조화대조조분별위(26.1±3.8)h、(47.8±7.2)h,량조비교차이유통계학의의(P＜0.01),자주배뇨시간차이무통계학의의(P＞0.05).결론 부궁산술후사용중약부제여채용PCEA상비교,가취득동양만의적진통효과,이중약부제가사산부제조기상활동,유리우감소산후출혈,촉진위장공능회복,치득추엄응용.
Objective To observe the post-operative analgesic effects and the improvement on maternal recovery of overjuting traditional Chinese medicine on omphalus in cesarean section parturients. Methods Two hundred primiparae were randomly divided into two groups after cesarean section (n = 100), and were treated with overjuting traditional Chinese medicine on omphalus (test group)or with epidural anesthesia (control group). Pain VAS score and maternal recovery were observed after operation. Results VAS score of cases in experiment group have no significant difference compared to the controls for 12,24,48 h postop. The change of fundus height in experiment group at 24, 48 h were (-0.78±0.38) cm、 (-1.37±0.41) cm; those in control group at 24, 48 h were (-1.15±0.22)cm、(-1.80±0.62) cm, there were significant differences between the two groups, and the same to the adverse effect at 12hours (P＜0.01 ,P＜0.05). The hemorrhage quantity in experimental group was ( 151.96±32.33 ) ml and that in control group was (194.94±44.09) ml, there was significant different between the two groups; The starting time of bed activities in experimental group was (10.3±3.6) h and that in control group was ( 15.6±2.1 ) h; The time of out-of-bed activities in experimental group was (22.7±4.4) h and that in control group was (31.4±4.0) h; The passage of gas by anus time in experimental group was (26.1±3.8) h and that in control group was (47.8±7.2) h,there were significant differences between the two groups (P＜0.01). Automatic micturition time had no obviously difference between the two groups (P＞0.05). Conclusion Overjuting traditional Chinese medicine on omphalus can get the same analgesic effect as PCEA and improve the maternal recovery from cesarean section.
