产科手术病人术后镇痛不同用药的观察

Observation on Different Medication for the Postoperative Analgesia of Obstetric Operation Patients

【目的】比较产科手术病人术后用舒芬太尼、芬太尼和曲马多静脉自控镇痛（PCIA）的效果及不良反应的发生率。【方法】60例妊娠待产病人随机均分为舒芬太尼PCIA组（MS组）和芬太尼PCIA组（MF组）、曲马多PCIA组（MT组），记录比较术后镇痛、镇静评分及不良反应发生率。【结果】MS组术后镇痛、镇静效果最好，MT组效果最差、不良反应发生率最高。【结论】舒芬太尼PCIA用于产科术后镇痛效果好、安全，不良反应发生率低。

[Objective]To compare the effect and the incidence of adverse reactions of sufentanil, fentanyl and tramadol by postoperative patient-controlled intravenous analgesia（PCIA） for obstetric operation patients. [Methods] Sixty cases of pregnancy expectant patients were randomly divided into sufentanil PCIA group （MS group）, fentanyl PCIA group （MF group） and tramadol PCIA group （MT group）. Postoperative analgesia and sedation score, and the incidence of adverse reactions were recorded. [Results]After operation, the effect of analgesia and sedation in MS group was the best, and that in MT group was the worst. The incidence of ad- verse reactions in MT group was the highest. [Conclusion] Sufentanil PCIA for obstetric postoperative analgesia has good effect and safety, and the incidence of adverse reactions is low.