静脉术后镇痛泵在重度子痫前期的作用

The application of patient controlled intravenous analgesia in postoperative women with severe preeclampsia.

目的探讨静脉自控镇痛泵对重度子痫前期孕妇剖宫产术后的辅助治疗及预防产后子痫。方法重度子痫前期孕妇剖宫产终止妊娠的80例根据术后镇痛方法分为2组:实验组术后留置静脉自控镇痛泵;对照组术后肌注盐酸哌替啶。观察两组的镇痛效果、血压变化及24h尿蛋白定量。结果实验组术后6、24、48h镇痛效果均明显优于对照组(P<0.05),血压较对照组低(P<0.05);24h尿蛋白定量较对照组低(P<0.05)。结论重度子痫前期剖宫产术后应用静脉自控镇痛泵镇痛效果确切,能有效辅助治疗重度子痫前期,预防产后子痫。

Objective To investigate the role of patient controlled intravenous analgesia in postoperative women with severe preeclampsia.Methods80 cases of severe preeclampsia after caesarean section have been divided into study and control groups depending on wether they used patient controlled intravenous analgesia or not.In study group patient controlled intravenous analgesia,while in control group,pethidine hydrochloride used by muscle injection.The analgesic effect,blood pressure and 24-hour urine protein were observed in the two groups of patients after 6 hours,24 hours and 48 hours of operation.ResultsThere are significant differences of analgesic effect,level of blood pressure and quantification of 24-hour urine protein between the two groups.Conclusion Patient controlled intravenous analgesia has positive effects on severe preeclampsia after caesarean section and is an important assistant method in the treatment of severe preeclampsia.