摘要
目的:探讨硬外自控镇痛在剖宫产手术中的应用效果和对产妇术后睡眠的影响。方法:选取2016年12月至2017年12月期间四川省内江市市中区人民医院收治的剖宫产产妇228例为研究对象,按照镇痛方式不同将产妇分成观察组和对照组,每组114例。对照组给予哌替啶100 mg肌内注射方式进行镇痛;观察组给予硬膜外自控镇痛。对2组产妇给予不同镇痛方式后的疼痛程度、睡眠状况和安全性情况进行观察和比较。结果:1)产后24 h和产后48 h时的疼痛程度评分组间比较,观察组产妇的疼痛程度得分明显高于对照组,差异有统计学意义(P <0. 05); 2)产后24 h时,观察组产妇的睡眠优良率为82. 46%,显著高于对照组产妇的65. 79%,差异有统计学意义(P <0. 01);产后48 h时,观察组产妇的睡眠优良率为87. 72%,显著高于对照组产妇的69. 30%,差异有统计学意义(P <0. 01); 3)观察组产妇中总不良反应发生患者共计33例,总不良反应发生率为28. 95%,高于对照组产妇的23例和20. 18%,但组间比较差异无统计学意义(P>0. 01)。结论:硬外自控镇痛技术能够有效的改善剖宫产产妇的疼痛情况,提升产妇术后的睡眠质量,但是产妇术后不良反应发生较多,临床上应针对患者的个体差异情况给予针对性的预防和干预措施。
Objective:To investigate the application effect of hard external controlled analgesia in cesarean section and the influence on the sleep of puerpera after operation. Methods:228 cesarean section women who were admitted to our hospital from December 2016 to December 2017 were selected as the research object.The maternal women were divided into the observation group and the control group according to the method of maternal analgesia,and 114 cases in each group.The control group received the intramuscular injection of meperidine 100 mg for analgesia,while the observation group received epidural analgesia.The degree of pain,sleep status and safety of the two groups of women after different analgesia were observed and compared. Results:1)The pain degree scores of the maternal women were significantly higher than those of the control group at 24 h postpartum and 48 h postpartum.The differences between the groups were with statistical significance(P<0.05).2)24 h after delivery,the excellent and high-quality sleep rate of the observation group was 82.46%,which was significantly higher than that of the control group 65.79%,and the differences between the groups were significant(P<0.05).48 h after delivery,the high-quality sleep rate of the observation group was 87.72%,significantly higher than the control group 69.30%,and the differences between two groups were significant(P<0.05).3)The total incidence cases of adverse reactions in the observation group were 33 patients,and the total adverse reaction rate was 28.95%,higher than the control group of 23 cases and 20.18%,but the differences between the groups were without statistical significance(P>0.05). Conclusion:Hard external controlled analgesia can effectively improve the pain of cesarean section and improve the quality of postoperative sleep.However,there are many adverse reactions after maternal surgery.It should be taken targeted prevention and intervention measures according to the individual differences of patients.
作者
杨艳
阳涛
Yang Yan;Yang Tao(Department of Anesthesiology,People′s Hospital of Shizhong District,Neijiang City,Sichuan Province,Neijiang 641000,China)
出处
《世界睡眠医学杂志》
2019年第2期186-188,共3页
World Journal of Sleep Medicine
关键词
硬外自控镇痛
剖宫产
睡眠
安全性
Hard external control analgesia
Cesarean section
Sleep
Safety
