硬脊膜外注射地塞米松对剖宫产术后急性腰背部疼痛的预防作用

Preventive Effect of Dexamethasone on Acute Lumbar Back Pain after Cesarean Section

目的分析剖宫产术后急性腰背部疼痛应用硬脊膜外注射地塞米松的预防效果。方法随机选择2015年7月—2016年7月在该院接受剖宫产术的产妇60例参与研究,随机平均分成观察和对照2个组,对照组选择0.9%氯化钠溶液进行注射,观察组选择地塞米松硬脊膜外注射,比较两组对术后急性腰背部疼痛的预防作用效果。结果观察组急性腰背部疼痛发生率为13.33%,对照组为43.33%(P<0.05);两组术中出血量、手术时间、白细胞计数以及C反应蛋白水平差异无统计学意义(P>0.05)。结论剖宫产术后应用地塞米松硬脊膜外注射能够有效预防急性腰背部疼痛,促进产妇产后恢复,值得推广。

Objective To analyze the effect of epidural injection of dexamethasone in the treatment of acute lumbar back pain after cesarean section.Methods Randomly selected July 2015 to July 2016 in our hospital received maternal cesarean section operation of 60 patients participated in the study, were randomly divided into observation and control group, control group selection of solution of 0.9% sodium chloride injection, observation group dexamethasone spinal epidural injection,compared two groups of postoperative acute lumbar pain in the back of the preventive effect. Results The incidence rate of acute lumbar back pain was 13.33% in the observation group and 43.33% in the control group（P 〈0.05）. There was no significant difference in the amount of blood loss, operation time, white blood cell count and C reactive protein level between the two groups（P 〉0.05）. Conclusion Epidural injection of dexamethasone after cesarean section can effectively prevent acute lumbar back pain, promote maternal postpartum recovery, it is worth promoting.