摘要
目的通过三种常用镇痛方法的观察与分析,选择最合适的镇痛方法。方法随机选取2014年择期剖宫产患者150例,ASAⅠ~Ⅱ级,随机分为Ⅰ、Ⅱ、Ⅲ三组,每组50例。术毕接一次性自控镇痛泵,Ⅰ组为硬膜外镇痛泵,Ⅱ、Ⅲ组为不同配伍的静脉镇痛泵。分别记录患者术后4、8、16、24、48 h的疼痛、镇静、睡眠评分,并同时记录有无恶心、呕吐、皮肤瘙痒、尿潴留等并发症。结果Ⅰ、Ⅲ组疼痛评分明显低于Ⅱ组,有显著差异（P〈0.05）;Ⅲ组术后排气时间明显短于Ⅰ、Ⅱ组,有显著差异（P〈0.05）;Ⅲ组睡眠良好率优于Ⅰ、Ⅱ组。结论舒芬太尼静脉自控镇痛是剖宫产患者最为合适的镇痛方法。
Objective To select the most suitableone through the observation and analysis of three general analgesic methods. Methods 150cases of the scheduled caesarean section in 2014 which were at ASA I - II level were randomly selectedand divided into Groups I, II, and III with 50 casesin each group. Once thedisposableself - controlled analgesic pump was used after the operation, the epidural analgesic pump was applied in GroupI whilethe intravenous oneswith dif- ferent compatibility were applied in GroupsII and III. Then the scores of pain, sedation, and sleep of patients were recor- ded in 4 hours, 8 hours, 16 hours, 24 hours, and 48 hoursrespectively after the operation. And the complications such as nausea, vomiting, skin itching, and urinary retention were also recorded simultaneously. Results The scoresof pain in Groups I and III were significantly lower than that in Group II （ P 〈 0.05 ）. The exhaust duration in Group III was sig- nificantly shorter than those in Groups I and II （ P 〈 0. 05 ）. The rate of good sleep in Group III was higher than those in- Groups I and II. Conclusions The self - controlledintravenous analgesia with sufentanilis the most suitable method for the patients suffering from the caesarean section.
出处
《航空航天医学杂志》
2015年第5期545-546,共2页
Journal of Aerospace medicine
关键词
剖宫产
一次性自控镇痛泵
硬膜外镇痛
静脉镇痛
舒芬太尼
Cesarean Section
Disposableself - controlled analgesic pump
Epidural analgesia
Intravenous analgesia
sufentanil
