快通道外科模式在剖宫产围术期疼痛管理中的应用

Fast Track Surgical Mode in the Application of Perioperative Pain Management of Cesarean Section

目的探讨快通道外科模式在剖宫产围手术期疼痛管理中的应用效果。方法选取我院2017年1月至2017年4月收治的200例剖宫产产妇,随机平均分为快通道组和常规护理组。观察两组术后2 h、4 h、6 h、8 h、12 h、24 h VAS评分≤3分比例,24 h舒芬太尼平均剂量,吲哚美辛栓、盐酸哌替啶总剂量,记录恶心呕吐率、肛门排气时间、镇痛效果满意率。结果与常规护理组比较,快通道组术后4 h、6 h、8 h VAS评分≤3分比例和镇痛效果满意率较高,24 h舒芬太尼平均剂量,吲哚美辛栓、盐酸哌替啶总剂量较少,同时恶心呕吐率较低,肛门排气时间较短,差异均有统计学意义(P<0.05)。结论快通道外科模式下的疼痛管理可缓解剖宫产术后24 h急性疼痛,减少镇痛药物的使用,提高患者的镇痛效果满意率。

Objective To study the application effect of fast track surgical mode in perioperative pain management of cesarean section. Methods 200 cases of puerperas undergoing cesarean section in our hospital from January 2017 to April 2017 were selected and randomly divided into fast track group and routine nursing group equally. The rates of 2 h, 4 h, 6 h, 8 h, 12 h and 24 h VAS scores less than 3 poins, average sufentanil dose and total doses of indomethacin and pethidine hydrochloride of two groups were observed. The rate of nausea and vomitting, anal exhaust time and satisfaction rate of analgesic effect of two groups were recorded. Results Compared with the routine nursing group, the rates of 4 h, 6 h and 8 h VAS scores less than 3 poins and satisfaction rate of analgesic effect of fast track group were higher, the average sufentanil dose and total doses of indomethacin and pethidine hydrochloride were less, the rate of nausea and vomitting was lower, and the anal exhaust time was shorter, with statistical differences （P 〈0.05）. Coulusions Pain management based on fast track surgical mode can relieve the acute pain 24 h after cesarean section, reduce the dose of analgesic drugs, and improve patients＇ satisfaction rate of analgesic effect.