不同镇痛方法对剖宫产产妇术后康复的影响

Effects of different analgesic methods on postoperative rehabilitation of the women after cesarean section

目的:比较不同镇痛方法对剖宫产产妇术后康复的影响。方法:选取2010年6月～2011年10月于该院进行剖宫产生产的96例产妇为研究对象,将其随机分为A组和B组各48例,A组采用哌替啶进行镇痛,B组采用硬膜外自控镇痛泵进行镇痛,后将两组患者的排气时间、下床活动时间、泌乳时间、并发症发生率、满意率及不同时段宫底高度、VAS评分进行统计及比较。结果:B组排气时间、下床活动时间、泌乳时间均短于A组,并发症发生率低于A组,满意率高于A组,且不同时段宫底高度、VAS评分也优于A组,P值均<0.05,均有统计学差异。结论:硬膜外自控镇痛对剖宫产产妇术后康复的效果更佳,更有利于机体的康复及早期泌乳。

Objective：To compare the effects of different analgesic methods on postoperative rehabilitation among the women after cesarean section.Methods：Ninety-six women after cesarean section were selected from the hospital from June 2010 to October 2011 as study objects,then they were divided into group A and group B randomly,48 women in each group,the women in group A were treated with pethidine for analgesia,while the women in group B were treated with patient-controlled epidural analgesia;the exhausting times,the postoperative times to leave beds,the lactation times,the incidences of complications,the satisfaction rates,the heights of uterine fundus at different time periods,and VAS values in the two groups were analyzed statistically and compared.Results：The exhausting time,the postoperative time to leave beds,and the lactation time in group B were shorter than those in group A,the incidences of complications in group B were lower than those in group A,the satisfaction rate in group B was higher than that in group A,the heights of uterine fundus at different time periods and VAS value in group B were higher than those in group A,there was significant difference（P0.05）.Conclusion：The effect of patient-controlled epidural analgesia for postoperative rehabilitation of the women after cesarean section is better,and the method is more helpful to the rehabilitation of the body and early lactation.