剖宫产术后硬膜外自控镇痛效果的比较研究

Comparative study on the effect of controlled epidural analgesia on patients with cesarean section

目的观察硬膜外自控镇痛(PCEA)用于剖宫产术后的镇痛效果。方法将180例剖宫产术后病人随机分成实验组90例和对照组90例,实验组使用PCEA,对照组术后采用哌替啶镇痛。结果镇痛有效率实验组明显高于对照组(2χ=46.3,P<0.01);患者睡眠时间实验组明显长于对照组(t=5.68,P<0.01);早接触、早吮吸率、按需哺乳和母乳喂养成功率实验组明显高于对照组(2χ=29.6、21.6、19.4,均P<0.01)。结论剖宫产术后用PCEA镇痛效果好,利于产妇的康复和母乳喂养。

Objective To observe the analgesic effect of automatic epidural analgesia pump （PCEA） on patients with cesarean section. Methods 180 patients with cesarean section were randomly divided into two groups： the experimental group （90 cases） and the control group （90 cases）. 90 patients in the experimental group were applied with PCEA and 90 cases in the control group were given pethidine. The analgesic effects in those two groups were observed. Results The analgesic efficiency in the experimental group was significantly higher than that in the control group（Х^2 = 46.3,P 〈 0.01 ） , and sleep time in the experimental group was significantly longer than that in the control group （t = 5.68, P 〈 0. 01 ）. So were rates of early contact between mother and baby, early sucking of baby, on-demand breast-feeding and successful breast-feeding in the experimental group in comparison with those in the control group（Х^2 = 29.6,21.6,19.4 respectively, P 〈 0. 01 ）. Conclusion The analgesic effect of PCEA applied in patients with cesarean section is perfect, and PCEA is conducive to rehabilitation of maternity and breast-feeding success.