中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2009年
4期
626-627
,共2页
镇痛,产科%镇痛,病人控制%镇痛,硬膜外%剖宫产术
鎮痛,產科%鎮痛,病人控製%鎮痛,硬膜外%剖宮產術
진통,산과%진통,병인공제%진통,경막외%부궁산술
Analgesia,obstetrical%Analgesia,patient-controlled%Analyesia,epidural%Cesarean section
目的 观察不同镇痛方法对剖宫产术后产妇的镇痛效果.方法 将剖宫产术分娩的产妇100例患者随机分组,每组各50例.采用自控硬膜外镇痛(PCEA)微量注射泵为PCEA组;采用自控静脉镇痛(PCIA)微量注射泵为PCLA组.观察并记录患者术后的疼痛情况、头痛头晕、恶心呕吐、术后排气、拔除尿管后的第1次排尿时间以及意外脱管等.结果 PCEA组、PCIA组患者的平均手术时间分别为(53.5±8.5)min、(54.7±8.2)min,两组间手术时间差异无统计学意义(t=1.524,P>0.05);PCEA组视觉模拟评分(1.49±0.43)分明显高于PCIA组(1.13±0.56)分(t=2.119,P<0.05);PCEA组患者术后头痛头晕、恶心呕吐、皮肤瘙痒发生率(30.0%、16.0%、6.0%)明显高于PCIA组(16.0%、8.0%、2.0%)(t=2.223,t=2.313,t=2.283,均P>0.05);PCEA组第1次排气时间、第1次排尿时间[(24.56±8.77)h、(6.51±1.57)h]明显高于PCIA组[(19.29±8.16)h、(4.06±1.76)h](t=2.445,t=2.415,P<0.05).结论 静脉自控微量注射镇痛泵镇痛安全有效,有利于术后患者充分配合治疗和早期活动,促进早期康复.
目的 觀察不同鎮痛方法對剖宮產術後產婦的鎮痛效果.方法 將剖宮產術分娩的產婦100例患者隨機分組,每組各50例.採用自控硬膜外鎮痛(PCEA)微量註射泵為PCEA組;採用自控靜脈鎮痛(PCIA)微量註射泵為PCLA組.觀察併記錄患者術後的疼痛情況、頭痛頭暈、噁心嘔吐、術後排氣、拔除尿管後的第1次排尿時間以及意外脫管等.結果 PCEA組、PCIA組患者的平均手術時間分彆為(53.5±8.5)min、(54.7±8.2)min,兩組間手術時間差異無統計學意義(t=1.524,P>0.05);PCEA組視覺模擬評分(1.49±0.43)分明顯高于PCIA組(1.13±0.56)分(t=2.119,P<0.05);PCEA組患者術後頭痛頭暈、噁心嘔吐、皮膚瘙癢髮生率(30.0%、16.0%、6.0%)明顯高于PCIA組(16.0%、8.0%、2.0%)(t=2.223,t=2.313,t=2.283,均P>0.05);PCEA組第1次排氣時間、第1次排尿時間[(24.56±8.77)h、(6.51±1.57)h]明顯高于PCIA組[(19.29±8.16)h、(4.06±1.76)h](t=2.445,t=2.415,P<0.05).結論 靜脈自控微量註射鎮痛泵鎮痛安全有效,有利于術後患者充分配閤治療和早期活動,促進早期康複.
목적 관찰불동진통방법대부궁산술후산부적진통효과.방법 장부궁산술분면적산부100례환자수궤분조,매조각50례.채용자공경막외진통(PCEA)미량주사빙위PCEA조;채용자공정맥진통(PCIA)미량주사빙위PCLA조.관찰병기록환자술후적동통정황、두통두훈、악심구토、술후배기、발제뇨관후적제1차배뇨시간이급의외탈관등.결과 PCEA조、PCIA조환자적평균수술시간분별위(53.5±8.5)min、(54.7±8.2)min,량조간수술시간차이무통계학의의(t=1.524,P>0.05);PCEA조시각모의평분(1.49±0.43)분명현고우PCIA조(1.13±0.56)분(t=2.119,P<0.05);PCEA조환자술후두통두훈、악심구토、피부소양발생솔(30.0%、16.0%、6.0%)명현고우PCIA조(16.0%、8.0%、2.0%)(t=2.223,t=2.313,t=2.283,균P>0.05);PCEA조제1차배기시간、제1차배뇨시간[(24.56±8.77)h、(6.51±1.57)h]명현고우PCIA조[(19.29±8.16)h、(4.06±1.76)h](t=2.445,t=2.415,P<0.05).결론 정맥자공미량주사진통빙진통안전유효,유리우술후환자충분배합치료화조기활동,촉진조기강복.
Objective To observe the analgesic effect after cesarean section with different paregoric meth-ods. Methods 100 cesarean patients were randomly divided into A and B group. A group adopted patient controlled epidura analgesia(PCEA) micro-injection pump;B group using patient controlled intravenous analgesia(PCIA) mi-cro-injection pump,patients were observed and recorded for their pain, vomit disgustingly, exsufflation and the time of first urination or accidentally tube pull-out. Results The time of average surgery for A, B group were (53.5±8.5) min, (54.7±8.2) min, between the two groups was not significant (t=1.524, P>0.05) ; A group of visual Analog score (1.49±0.43) points were significantly higher than B group (1.13±0.56) points(t=2.119,P<0.05) ;the incidence of headache, dizziness, nausea and vomiting, skin itching(30.0%, 16.0% ,6.0%) in A group were signifi-candy higher than B group(16.0%,8.0% ,2.0%) (t=2.223, t=2.313, t=2.283, all P>0.05) ; the time of A first exhaust,voiding time[(24.56±8.77) h, (6.51±1.57) h] in A group were significantly higher than B group [(19.29±8.16)h,(4.06±1.76)h](t=2.445,t=2.415,P<0.05). Conclusion PCIA method was safe,effec-tive and allowed patients to have early activities after treatment and to promote early rehabilitation. It should be promo-ted for cesarean section.
