摘要
目的:探讨不同药物持续硬膜外自控镇痛(PCEA)在剖宫产术后的应用效果及护理方法。方法:将156例剖宫产产妇随机分为两组,观察组80例,采用盐酸吗啡+盐酸布比卡因+氟哌啶行PCEA;对照组76例,采用盐酸吗啡+盐酸布比卡因行PCEA。并对两组剖宫产术后自控镇痛有无恶心、呕吐、肛门排气时间、镇痛时间进行比较。结果:两组镇痛效果比较有极显著性差异(P<0.01);观察组出现恶心、呕吐、头晕等症状4例,发生率5.0%,对照组32例,发生率42.1%,两组比较均有显著性差异(P<0.05)。结论:对剖宫产术后的产妇应用盐酸吗啡+盐酸布比卡因+氟哌啶行PCEA,可减少不良反应的发生,镇痛效果满意,值得临床推广应用。
Objective： To explore the effect of patient -controlled persistent epidural analgesia （ PCEA） with different drugs after cesarean section and methods of nursing care. Methods： One hundred and fifty six puerpera with cesarean section were randomly divided into observation group （ n = 80 ） and control group （ n = 76 ）. The patients in observation group were given PCEA with morphine sulfate, bupivacaine hydrochloride plus haloperidol; the patients in control group were given PCEA with morphine sulfate plus bupivacaine hydrochloride, and then the comparison was made in the side -effects of nau- sea and vomiting, the initial time of anal exsufflation and the length of analgesia following the application of PCEA. Results ： The significant difference was found in the effect of analgesia between the two groups （ P 〈 0. 01 ） ; there were significant differences in the comparison of the side- effects of nausea, vomiting and dizzy between the two groups （ P 〈0. 05 ）, Four patients had the side - effects in observation group （ 5.0% ） and 32 patients had the same side - effects in control group 142.1%）. Conclusion： Side - effects can be decreased when PCEA was applied to those puerpera who had childbirth by cesarean section and the expected analgesic effect can be obtained at the same time.
