子宫切除术后不同镇痛方法效果评价

ESTIMATION ON THE EFFECT OF DIFFERENT ANALGESIA METHODS USED AFTER HYSTERECTOMY

目的评价子宫切除术后不同镇痛方法的镇痛效果,探讨一种更理想、更安全的镇痛方法。方法随机按自愿原则将子宫切除术后病人分为持续硬膜外镇痛组A组,单次硬膜外镇痛组B组,对照组C组,对三组病人采用视觉模拟评分,术后评定镇痛效果,观察其呼吸抑制、恶心、呕吐和皮肤瘙痒等并发症。结果三组病人镇痛评分A组和B组比较镇痛效果相似,A组稍优于B组,但无统计学差异(p>0.05),A组和B组分别与C组比较均有非常显著性差异(p<0.05),三组均无呼吸抑制,但A组的恶心、呕吐、皮肤瘙痒发生率比B组高。结论术后镇痛具有重要性和必要性,持续硬膜外镇痛和单次硬膜外镇痛均为子宫切除术后较好的镇痛方法。

Objective To estimate the effect of different analgesia methods used after hysterectomy and then finding out a more ideal and safer analgesia method. Methods According to the wishes of the patients, the patients after hysterectomy were at random divided into Continuous Epidural Analgesia Group （ Group A）, Single Epidural Analgesia Group （ Group B） and control group （ Group C）. With the visual simulated marking method adopted, the analgesia effects after operation of the patients in three groups were compared and with the complications like respiratory inhibition, vomiting and cutaneous pruritus observed. Results For the analgesia marking in three groups, the Group A was similar to Group B and the Group A was a little better than Group B but without statistic differences （p〉0.05）. However, when Group A and Group B compared with Group C, the obvious differences existed （p 〈0. 05）. And there was no respiratory inhibition in three groups and the incidence of complications like vomiting and cutaneous pruritus in Group A was higher than that in Group B. Conclusion The analgesia after operation is important and necessary. And the continuous epidural analgesia and single epidural analgesia are all the good analgesia methods for the patients after hysterectomy.