硬膜外自控镇痛泵对剖宫产术后恢复的影响

Effect of patient-controlled epidural analgesia pump on postoperative recovery after Cesarean section

目的 探讨硬膜外自控镇痛泵（PCEA）对剖宫产术后妇女恢复的影响.方法 分析2010年本院行剖宫产术后PCEA（泵液内含吗啡6 mg加盐酸罗哌卡因 200 mg）镇痛组200例及非PCEA镇痛组192例（术后6～8 h肌注盐酸哌替啶100 mg镇痛）的镇痛效果、泌乳、母乳喂养情况、阴道流血、肛门排气时间及其不良反应.结果 PCEA组患者术后疼痛疗效评估有效率为97.5%,非PCEA组为16.7%,差异有统计学意义;PCZA组24 h内开始泌乳的比例高,哺乳次数增多,母乳喂养成功比例高,肛门排气早,与非PCEA组比较,差异有统计学意义;术后24 h阴道出血量和不良反应比较,差异无统计学意义.结论 PCEA可达到充分镇痛的目的,促使产妇早泌乳,有利于促进母乳喂养,是一种安全有效的措施.

Objective To examine the effect of patient-controlled epidural analgesia （PCEA） pump on postoperative recovery after Cesarean section. Methods A total of 392 women who received Cesarean section in our hospital in 2010 were randomly divided into two groups： one group of 200 cases received PCEA; the control group of 192 cases received 100rag intramuscular injection of pethidine hydrochloride 6-8 hours after operation. Analgesic effect, lactation, breastfeeding, vaginal bleeding, exhaust time, and adverse reactions were recorded and compared between the two groups. Results Postoperative pain relief was observed in 97.5 % of cases in the PCEA group, compared with about 16.7 % in the control group. PCEA group experienced early 1;tctating, increased frequency of breast-feeding within 24 h, and early anal exhaust. The volume of 24 h vaginal bleeding and adverse events were no significant difference between the two grous. Conclusion PCEA analgesia can achieve adequate pain relief after Cesarean section, and early lactation and breastfeeding, and is safe and effective.