硬膜外自控镇痛用于剖宫产术后的疗效观察

Therapeutic effect of controlled-epidural analgesia in patients with caesarean section

目的探讨硬膜外自控镇痛(PCEA)用于剖宫产术后的临床效果。方法回顾性分析2006年1月至2008年12月在我院住院分娩的436例剖宫产产妇的临床资料,比较PCEA与肌肉注射盐酸哌替啶镇痛(对照组)的临床效果。结果与对照组相比,PCEA组产妇(24h,48h)镇痛效果明显升高(P<0.01),肛门排气时间及开奶时间明显缩短(P<0.05)。结论剖宫产术后自控镇痛泵镇痛,有良好的镇痛效果,不良反应少。

Objective To investigate the therapeutic effect and safety of controlled - epidural analgesia in patients with caesarean section. Methods Clinical data of 436 patients with uterine - incision delivery under combined spinal epidural analgesia from January 2006 to December 2008 were retrospectively analyzed, and its effect and safety were compared between controlledepidural analgesia and intramuscular injection of pethidine hydroehloride. Results In comparison with control group, the effect of relieving pain （24 h and 48 h） increased significantly （ P 〈 0. 01 ）by controlled -epidural analgesia, the time of gas passage fi＇om anus and excretion of milk decreased significantly （ P 〈 0.05 ）. Conclusion It＇s a safe method for analgesia by using controlled - epidural analgesia with ropivacaine, fentanyl and morphine after uterine - incision delivery.