硬膜外自控镇痛对子宫全切术患者并发症及胃肠功能的影响研究

Study on the influence of patient-controlled epidural analgesia for the complications and gastrointestinal function of patients with total hysterectomy

目的研究分析硬膜外自控镇痛对子宫全切术患者并发症及胃肠功能的影响。方法选取2011年9月~2013年8月于本院进行子宫全切术治疗的90例患者为研究对象,将其随机分为对照组（哌替啶肌内注射组）45例和观察组（硬膜外自控镇痛组）45例,比较两组患者的并发症发生率及胃肠功能指标。结果观察组中开腹手术及腹腔镜手术患者的并发症发生率均低于对照组,胃肠功能恢复好于对照组,差异有统计学意义（P〈0.05）。结论硬膜外自控镇痛对子宫全切术患者并发症及胃肠功能的影响好于哌替啶肌内注射,更有利于患者的术后康复。

Objective To study and analyze the influence of patient-controlled epidural analgesia for the complications and gastrointestinal function of patients with total hysterectomy.Methods 90 cases of patients with total hysterectomy in our hospital from September 2011 to August 2013 were selected as research object,and were randomly divided into control group （pethidine by intramuscular injection group,45 cases） and observation group （patient-controlled epidural analgesia group,45 cases）,then the complications rate and gastrointestinal function indexes of two groups was compared. Results The complications rate of observation group with open operation and laparoscopic operation were all lower than those of control group,gastrointestinal function indexes were better than those of control group,the difference was signifi- cant （P〈0.05）.Conclusion The influence of patient-controlled epidural analgesia for the complications and gastrointesti- nal function of patients with total hysterectomy is better than those of pethidine by intramuscular injection,and it is more helpful for the postoperative rehabilitation of patients.