摘要
目的探讨加速康复外科视域下硬膜外自控镇痛在改善剖宫产术后患者活动性疼痛的效果.方法选择南昌大学第二附属医院2022年1月-2022年12月收治的剖宫产产妇80例作为研究对象,应用Excel软件,采用随机数字法分为对照组和观察组,每组40例.对照组产妇术后采用硬膜外自控镇痛,观察组产妇采用加速康复外科视域下联合硬膜外自控镇痛.比较两组产妇术后6h、12h、24h、48h静息状态和运动状态视觉模拟评分(VAS),术前24h及术后48h汉密尔顿焦虑量表(HAMA)与汉密尔顿抑郁量表(HAMD)评分.结果术后6h、12h、24h、48h,两组产妇静息状态与运动状态VAS评分均呈现上升趋势,但观察组产妇术后6h、12h、24h静息状态与运动状态VAS评分均低于对照组,差异有统计学意义(P<0.05);两组产妇术后48h静息状态与运动状态VAS评分组间比较,差异无统计学意义(P>0.05);术前24h,两组产妇HAMA评分与HAMD评分组间比较,差异无统计学意义(P>0.05);观察组产妇术后48h HAMA评分与HAMD评分均低于对照组,差异有统计学意义(P<0.05).结论加速康复外科视域下硬膜外自控镇痛可有效改善剖宫产术后产妇静止与活动性疼痛,缓解产妇术后焦虑、抑郁情绪,临床应用效果满意,值得推广.
Objective To explore the effect of accelerated rehabilitation surgery on patient-controlled epidural analgesia in improving active pain in patients after cesarean section.Methods 80 cases of cesarean section women admitted to our hospital from January 2022 to December 2022 were selected as the study subjects,and were divided into routine group and study group using Excel software and random number method,with 40 cases in each group.The control group received postoperative patient-controlled epidural analgesia,while the observation group received accelerated rehabilitation surgery combined with patient-controlled epidural analgesia.The visual analogue scores(VAS)of resting and moving states,and the scores of Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)24 hours before and 48 hours after surgery were compared between the two groups.Results At 6h,12h,24h,and 48h after operation,the VAS scores of resting state and exercise state in both groups showed an upward trend,but the VAS scores of resting state and exercise state in the observation group were lower than those in the control group at 6h,12h,and 24h after operation,with a statistically significant difference(P<0.05);there was no statistically significant difference between the two groups in VAS scores of resting state and exercise state 48 hours after operation(P>0.05);24 hours before operation,there was no significant difference between the HAMA score and the HAMD score between the two groups(P>0.05);the HAMA score and HAMD score of the observation group were lower than those of the control group 48 hours after operation,with a statistically significant difference(P<0.05).Conclusion Controlled epidural analgesia under the vision of accelerated rehabilitation surgery can effectively improve the static and active pain of postpartum women after cesarean section,alleviate the anxiety and depression of postpartum women.The clinical application effect is satisfactory,and it is worth promoting.
作者
肖遥
夏蕊
肖丹
邓雁
裴梦婷
Xiao Yao;Xia Rui;Xiao Dan;Deng Yan;Pei Mengting(Nanchang University Second Affiliated Hospital Anesthesia Nursing Unit,Nanchang,Jiangxi 330000,China)
出处
《首都食品与医药》
2023年第17期107-110,共4页
Capital Food Medicine
基金
江西省卫生健康委科技计划项目(202310572)。
关键词
加速康复外科
硬膜外自控镇痛
剖宫产
镇痛效果
Accelerated rehabilitation surgery
Patient controlled epidural analgesia
Cesarean section
Analgesic effect
