剖宫产术后硬膜外自控镇痛100例疗效观察及护理

Controlled epidural analgesia after cesarean section clinical observation of 100 cases and nursing

目的:探讨硬膜外自控镇痛对剖宫产术后恢复的影响。方法:选择2007年8月～2008年1月,在本院行剖宫产术并自愿接受硬膜外自控镇痛的产妇100例作为观察组,随机抽取同期剖宫产术后使用盐酸哌替啶50mg肌内注射被动镇痛产妇100例作为对照组,观察两组镇痛方法对剖宫产术后恢复的影响。结果:镇痛效果,观察组优于对照组;术后24h内活动,睡眠时间及泌乳情况,观察组明显优于对照组。结论:硬膜外自控镇痛用于剖宫产术后镇痛,配合有效的护理措施,能起到良好的镇痛效果,安全性高,能有效提高产妇术后生活质量。

Objective： To explore the patient-controlled epidural analgesia on recovery after cesarean section. Methods： From August 2007 to January 2009, our line in the voluntary acceptance of cesarean section and the maternal-controlled epidural analgesia as 100 cases of the observation group were randomly taken from the same period the use of pethidine after cesarean section （dolantin） 50 mg intramuscular injection of 100 cases of passive maternal analgesia as a control group to observe the two methods of analgesia after cesarean section recovery. Results： The analgesic effect, the observation group than the control group; after 24 h of activities, sleep time and lactation, the observation group was significantly better than the control group. Conclusion： The patient-controlled epidural analgesia for analgesia after cesarean section, with the effective care measures, can play a good analgesic effect, safe and effective to improve maternal postoperative quality of life.