多模式镇痛应用于单胎横切口剖宫产手术后的镇痛效果评价

Study on analgesic effect of MMA technique in patients undergoing transverse incision cesarean section of singleton pregnancy

目的:探讨多模式镇痛(MMA)技术应用于剖宫产手术的镇痛效果。方法:选取我院2018年5月至2020年4月收治的76例单胎横切口剖宫产手术产妇为研究对象,随机分为对照组和观察组,分别给予传统模式镇痛和MMA技术镇痛,分析产妇的镇痛效果和不良反应。结果:对照组和观察组产妇术后3 h时静息痛、运动痛的视觉模拟量表(VAS)评分比较差异无统计学意义(P>0.05),而术后12、24 h时观察组产妇静息痛、运动痛的VAS评分低于对照组(P<0.05)。观察组产妇的初次哺乳时间和自理能力恢复时间短于对照组,而满意度评分高于对照组(P<0.05)。观察组产妇术后24 h检测的外周血肿瘤坏死因子α(TNF-α)、神经肽Y(NPY)和C反应蛋白(CRP)3项炎症因子水平均低于对照组,差异具有统计学意义(P<0.05)。此外观察组产妇的不良反应发生率低于对照组,差异具有统计学意义(P<0.05)。结论:MMA技术对剖宫产手术产妇的镇痛效果要优于传统模式镇痛。

Objective: To explore the analgesic effect of multimodal analgesia(MMA) technique in transverse incision cesarean section of singleton pregnancy. Methods: Seventy-six patients with selective transverse incision cesarean section of singleton pregnancy were divided into control group and observation group randomly. Control group was given traditional mode analgesia, observation group was given MMA. The analgesic effect and adverse reaction were analyzed. Results: There were significant differences in visual analogue scale(VAS) scores of both resting-pain and exercise-pain between the two groups(P<0.05). The initial lactation time and self-recovery time in observation group were shorter than those in control group, and the satisfaction score was higher than that in control group(P<0.05). The levels of CRP, TNF-α and NPY and the adverse reaction rate in the observation group were lower than those in the control group, and the differences were statistically significant(P<0.05). Conclusion: The MMA technique is safe and effective in cesarean section with transverse incision cesarean section of singleton pregnancy.