摘要
目的观察剖宫产术后硬膜外腔一次性推注镇痛药物的效果。方法选择100例剖宫产术后产妇,随机分为观察组和对照组,每组50例,术后观察组一次性自硬膜外腔推注镇痛液(其成分为吗啡2mg+0.375%布比卡因5mL+地塞米松5mg+Ns5mL)。对照组手术后即拔除硬膜外导管,根据病人的需要给予哌替啶肌注镇痛。观察术后24h镇痛效果、产妇乳汁分泌时间和肛管排气时间。结果观察组中有效者48例,有效率大于96%,2组比较有显著差异(P<0.01),同时观察组的乳汁分泌功能得到促进,提高了母乳喂养的成功率,副作用的发生率低。结论剖宫产术后硬膜外腔单次推注镇痛药物,安全有效,副作用小,对剖宫产术后产妇能产生良好的镇痛效果的同时,可缩短初乳时间,有利于早期哺乳和产妇术后康复,并且简便易行,经济实惠。
Objective To observe the cesarean section postoperative epidural analgesic drug effect of disposable infusion.Methods 100 cases of parturient after cesarean section,were randomly divided into the observation group and the control group,50 cases in each group,postoperative observation group disposable self epidural bolus injection of analgesic liquid （its composition for morphine bupivacaine 2mg＋0.3755mL＋ 5mg＋Ns5mL dexamethasone）.The control group after operation for removal of epidural catheters,according to the needs of the patient to pethidine intramuscular analgesia.Observation of postoperative analgesia effect of 24 hours,maternal lactation time and anal exhaust time.Results In the observation group effective in 48 cases,with efficiencies greater than 96,two groups had significant difference（P0.01）,while the observation group to promote milk secretion function,improve breastfeeding success rate,incidence of side effects is low.Conclusion Cesarean section postoperative epidural single bolus injection of analgesic drugs,safe and effective,the side effect is small,after cesarean section on maternal can produce good analgesic effect at the same time,can shorten the time of colostrum,in favor of early lactation and maternal postoperative rehabilitation,and is simple and easy,affordable.
出处
《中外医疗》
2012年第6期6-7,共2页
China & Foreign Medical Treatment
关键词
剖宫产术
术后镇痛
吗啡
乳汁分泌
Cesarean section
Postoperative analgesia
Morphine
Milk secretion
