摘要
[目的]观察静脉自控镇痛泵镇痛与肌肉注射镇痛药的镇痛效果、不良反应和剖宫产术后48 h内母乳喂养时间、睡眠时间及第1次排气时间,总结护理对策。[方法]将180例剖宫产术后产妇随机分为两组,实验组90例,产妇术后用自控镇痛泵镇痛,对照组90例,产妇术后实行肌肉注射镇痛药的方法镇痛,采用相应护理措施。[结果]实验组疼痛明显减轻,与对照组比较差异有统计学意义(P<0.01);实验组恶心、呕吐、头痛、头晕、尿潴留等不良反应明显少于对照组(P<0.05);实验组48 h内母乳喂养时间和睡眠时间明显多于对照组(P<0.01),实验组术后第1次排气时间明显短于对照组(P<0.01)。[结论]静脉自控镇痛泵镇痛明显优于肌肉注射镇痛法。
Objective： To observe the analgesia effect, adverse reactions and postoperative breast feeding, hour of sleep, and the first outgas time after cesarean section within 48h hour of patients accepted venous self - control analgesia pump and intramuscular injection of pain - killer. And nursing strategies have been summarized. Methods： A total of 180 patients after cesarean section were randomly divided into two groups. And 90 cases of test group were accepted venous self- control analgesic pump after cesarean section. Another 90 cases of control group were given intramuscular injection of pain- killer after cesarean section. And corresponding nursing measures were adopted for all cases. Results： Pain of test group patients was mitigated or even no pain. To compare with control group, there was statistical significant difference （P（0.01）. The adverse reactions such as nausea, vomiting, headache, dizziness, and urinary retention among test group cases were lower than that of control group （P〈0.05）. Breast feeding and sleeping hours of test group cases within 48h hour were more than that of control group cases （P〈0.01）. The first outgas time of test group cases was less than that of control group patients （P〈0.01）. Conclusion： The effect of venous self - control analgesic pump for patients is superior to intramuscular injection painkiller.
关键词
静脉自控镇痛泵
剖宫产
镇痛
venous self-control analgesic pump
cesarean section
analgesia
