为进行剖宫产手术后的产妇使用自控镇痛泵对其康复情况的影响

Effect of postoperative analgesia with controlled analgesia pump to rehabilitation of the puerpera after cesarean section

目的 :探讨为进行剖宫产手术后的产妇使用自控镇痛泵对其康复情况的影响。方法 :选取简阳市妇幼保健计划生育服务中心收治的100例产妇作为研究对象。将这些产妇平均分为对照组和观察组。对这些产妇进行剖宫产手术后,为对照组产妇使用哌替啶进行镇痛,为观察组产妇使用自控镇痛泵进行镇痛。然后比较两组产妇的镇痛效果及其术后康复的情况。结果 :在手术后的4h、12h、24h、48h时,观察组产妇视觉模拟评分法(VAS)的评分均低于对照组产妇(P <0.05),术后其不良反应的发生率低于对照组产妇(P <0.05),其术毕至肠鸣音恢复正常的时间、术毕至排气的时间、术毕至初次泌乳的时间均短于对照组产妇(P <0.05),其产后的出血量少于对照组产妇(P <0.05),在手术后至出院前其对新生儿进行母乳喂养的次数多于对照组产妇(P <0.05)。结论 :为接受剖宫产手术的产妇使用自控镇痛泵进行镇痛,可有效地减轻其疼痛感,降低其不良反应的发生率,促使其较快康复。

Objective： To explore the effect of using automatic analgesic pump on the recovery of parturients after cesarean section. Methods： 100 parturients admitted to jianyang maternal and child health and family planning service center were selected as study objects. The women were divided into control group and observation group on average. After the cesarean section, the parturients in the control group were given pethidine for analgesia, and the parturients in the observation group were given automatic analgesia pumps. Then the analgesic effect and postoperative recovery of the two groups were compared. Results： At postoperative 4 h, 12 h, 24 h, 48 h, observation group maternal method of visual analogue scale（VAS） scores were lower than the control group（P〈0.05）, maternal postoperative the incidence of adverse reaction is lower than the control group（P〈0.05）, maternal its operation time until tomorrow to return to normal bowel sounds, the time and never put off till tomorrow what you can to vent to finish to the first lactation time is shorter than the control group（P〈0.05）, maternal its postpartum haemorrhage amount is less than the control group（P〈0.05）, maternal The number of times the infants were breastfed from the operation to the discharge was higher than that of the control group（P〈0.05）. Conclusion： the use of automatic analgesic pump for parturients undergoing cesarean section can effectively alleviate their pain sensation, reduce the incidence of adverse reactions and promote their rapid recovery.