不同镇痛方式对剖宫产术后疼痛程度与睡眠状态的影响

Effect of Different Analgesia Methods on Pain Degree and Sleep State after Cesarean Section

目的:分析不同镇痛方式在剖宫产产妇术后镇痛中的运用价值。方法:选取2018年5月至2020年6月清流县总医院妇产科收治的在本院分娩的剖宫产产妇113例作为研究对象,按照随机数字表法分为对照组(n=56)和观察组(n=57)。对照组以静脉自控镇痛(PCIA)方式、观察组以硬膜外自控镇痛(PCEA)方式开展术后镇痛管理。结果:观察组剖宫产术后12 h、24 h疼痛评分及睡眠质量评分均低于对照组,差异有统计学意义(P <0.05);观察组不良反应发生率低于对照组,差异有统计学意义(P <0.05)。结论:PCIA、PCEA均可为剖宫产产妇的术后镇痛提供支持,但PCEA的镇痛效果更佳,且有助于改善产妇的睡眠状态,并减少镇痛不良反应的发生。

Objective: To analyze the application value of different analgesia methods in postoperative analgesia of parturient with cesarean section. Methods: A total of 113 cases of cesarean delivery in the Department of Obstetrics and Gynecology of Qingliu County General Hospital from May 2018 to June 2020 were selected as the research objects and randomly divided into control group( n = 56) and observation group( n = 57). The control group was given PCIA and the observation group was given PCEA. Results:The pain scores and sleep quality scores of the epidural group were lower than those of the intravenous group at 12 h and 24 h after cesarean section( P < 0. 05);the incidence of adverse reactions in the epidural group was lower than that in the intravenous group( P < 0. 05). Conclusion: PCIA and PCEA can provide support for postoperative analgesia of parturients undergoing cesarean section,but PCEA has better analgesic effect and can help to improve the sleep state of puerpera and reduce the incidence of adverse reactions of analgesia.