剖宫产术后硬膜外镇痛对产妇的影响

Effects of Postoperative Epidural Analgesia on Puerpera after Cesarean Section

目的 研究剖宫产术后硬膜外镇痛对产妇的影响。方法 选取施行择期剖宫产的产妇 90例 ,随机分为 3组 :对照组、单次给药组 ( 组 )、连续给药组即 PECA组 ( 组 ) ,观察其镇痛效果及其对泌乳、肠蠕动、子宫缩复及产后出血量的影响。结果 1 组与 组镇痛效果明显优于对照组 (P<0 .0 0 1) ,尤以 组为佳 ,可持续至产后 48h;2两组泌乳时间及排气时间提前 ;3对子宫缩复无影响 ,产后出血量减少 ,差异无显著性。结论 剖宫产术后采用硬膜外镇痛效果好 ,并可促进泌乳及肠蠕动恢复 ,不增加产后出血量 ,值得推广。

Objective To observe effects of postoperative epidural analgesia on puerpera after cesarean section.Methods 90 puerpera received selective cesarean section were divided into three groups randomly:control group,group Ⅰ with single injection and group Ⅱ with continuous injection (PECA).We observed the analgesia effects and influence on lactation,exsufflation,uterine contractions and postpartum bleeding amount.Results ①The analgesia effect of group Ⅰ and Ⅱ were significantly superior to control group(P<0.01),especially in group Ⅱ,it could last for 48 hours.②The lactation time and exsufflation time in group Ⅰ and Ⅱ were shortened(P< 0.05) .③In group Ⅰ and Ⅱthere were no influence on uterine contractions(P<0.05),the bleeding amount were decreased,but there were no significance.Conclusions Using postoperative epidural analgesia had perfect analgesia effect and promoted the lactation and bowel movements,didn't increase postpartum bleeding amount.So it could be widely used after cesarean section.