摘要
目的观察剖宫产术后硬膜外自控镇痛的效果及对子宫收缩的影响。方法60例患者剖宫产术后随机分为观察组30例(剖宫产手术结束后留置硬膜外导管施行术后自控镇痛)和对照组30例(手术结束后即拔除硬膜外导管不施行术后自控镇痛,必要时肌内注射哌替啶)。观察术后镇痛效果、对子宫收缩、产后阴道出血量及对哺乳的影响。结果剖宫产术后施行术后自控镇痛其镇痛效果显著,产妇伤口疼痛明显减轻,促进机体的恢复;对子宫收缩无不良影响,不增加产后阴道出血量;并能做到早期哺乳,促进母乳喂养。结论硬膜外自控镇痛效果良好,对子宫收缩无影响,不增加术后阴道出血量。
AIM To observe the effect of patient-controlled epidural analgesia （PCEA） after caesarean section and effect on contraction of uterus. METHODS Sixty patients were randomly divided into two groups. Study group was administered PCEA after caesarean section （ n = 30） and control group without epidural analgesia （ n = 30）. RESULTS Comparing to the control group, the patients in study group suffered from less pain with earlier breast feeding, meanwhile there were no adverse drug reactions on contraction of uterus and on vaginal haemorrhage. CONCLUSION The effect of PCEA after caesarean section is siginificant, also no-effect on contraction of uterus and no-increase in vaginal haemorrhage.
出处
《中国临床药学杂志》
CAS
2008年第5期293-294,共2页
Chinese Journal of Clinical Pharmacy
关键词
硬膜外腔
镇痛
剖宫产术
epidural
analgesia
caesarean section
