世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2015年
61期
29-29,31
,共2页
剖宫产%术后镇疼%效果分析
剖宮產%術後鎮疼%效果分析
부궁산%술후진동%효과분석
cesarean section%postoperative town pain%effect analysis
目的：探讨更好的剖宫产术后镇痛方法。方法成立由麻醉师和产科护士共同组成的剖宫产术后疼痛管理流程优化小组，将100例剖宫产产妇随机分为PCEA组和PCIA组，每组50人，分别观察两组产妇术后6h、12h、24h、48hBP、P、R变化情况和Wong-Baker面部表情评分、恶心、呕吐、下肢麻木乏力、非意外拔管情况。结果疼痛评分在术后6h，12h，24h，48h无显著差异；脱管率有显著差异，下肢麻木乏力率有显著差异，恶心呕吐发生率无显著差异。结论麻醉师与产科护士的协作能及时发现剖宫产术后镇痛中的问题，及时调整，为产妇提供满意的镇痛效果。
目的：探討更好的剖宮產術後鎮痛方法。方法成立由痳醉師和產科護士共同組成的剖宮產術後疼痛管理流程優化小組，將100例剖宮產產婦隨機分為PCEA組和PCIA組，每組50人，分彆觀察兩組產婦術後6h、12h、24h、48hBP、P、R變化情況和Wong-Baker麵部錶情評分、噁心、嘔吐、下肢痳木乏力、非意外拔管情況。結果疼痛評分在術後6h，12h，24h，48h無顯著差異；脫管率有顯著差異，下肢痳木乏力率有顯著差異，噁心嘔吐髮生率無顯著差異。結論痳醉師與產科護士的協作能及時髮現剖宮產術後鎮痛中的問題，及時調整，為產婦提供滿意的鎮痛效果。
목적：탐토경호적부궁산술후진통방법。방법성립유마취사화산과호사공동조성적부궁산술후동통관리류정우화소조，장100례부궁산산부수궤분위PCEA조화PCIA조，매조50인，분별관찰량조산부술후6h、12h、24h、48hBP、P、R변화정황화Wong-Baker면부표정평분、악심、구토、하지마목핍력、비의외발관정황。결과동통평분재술후6h，12h，24h，48h무현저차이；탈관솔유현저차이，하지마목핍력솔유현저차이，악심구토발생솔무현저차이。결론마취사여산과호사적협작능급시발현부궁산술후진통중적문제，급시조정，위산부제공만의적진통효과。
Objective:To investigate the analgesic method of better cesarean section. Methods:Established by the anesthetist and obstetric nurses composed of cesarean section after pain management process optimization group, 100 cases of cesarean section were divided into PCEA and PCIA group, 50 in each group were observed in two groups of women after 6h, 12h, 24h, 48hBP, P, R and Wong Baker facial expression score, nausea, vomiting, lower extremity weakness and numbness, non accidental extubation. Results:There were no significant differences in 6h, 12h,, 24h, and 48h, and there were significant differences in the incidence of lower limb numbness, and no significant difference in the incidence of nausea and vomiting. Conclusion:Collaboration anaesthetist and obstetric nurses can cesarean section postoperative analgesia in the timely detection of problems, timely adjustment, provide satisfactory analgesia effect.
