术后镇痛对剖宫产产妇术后宫缩痛的影响  

Effect of analgesia on uterine contraction-induced pain after cesarean section

作　　者：徐志勇[1] 朱爱兵[1] 

机构地区：[1]南京医科大学附属无锡市妇幼保健院麻醉科,无锡214002

出　　处：《江苏医药》2010年第10期1133-1134,共2页Jiangsu Medical Journal

摘　　要：目的观察镇痛对剖宫产产妇术后宫缩痛的影响。方法 60例剖宫产手术产妇随机均分为两组:I组术后采用布托啡诺静脉自控镇痛(PCIA);E组采用布托啡诺硬膜外自控镇痛(PCEA)。两组术毕均经硬膜外腔注入布托啡诺2mg。观察术后4、8、16、24h的创口痛和宫缩痛的镇痛效果及不良反应发生情况。结果 I组术后8、16h的宫缩痛的VAS评分明显低于E组,术后4、8hRamsay镇静评分明显高于E组(P<0.05)。两组术后不良反应发生情况相仿(P>0.05),但E组下肢麻木的发生率明显高于I组(P<0.05)。结论布托啡诺PCIA对宫缩痛镇痛效果优于布托啡诺PCEA,且不良反应少。Objective To study the effect of postoperative analgesia on uterine contraction-induced pain after Cesarean section.Methods Sixty patients underwent Cesarean section were randomly divided into two groups with 30 cases each.After epidural injection of butorphanol 2 mg at the end of operation,group I received patient-controlled intravenous analgesia(PCIA) with butorphanol and group E received patient-controlled epidural analgesia(PCEA) with butorphanol for postoperative analgesia.The uterine contraction-induced pain score and adverse effects were recorded at 4,8,16 and 24 h during analgesia.Results Compared with group E,VAS points at 8 and 16 h were lower(P<0.05) and Ramsay sedation scores at 4 and 8 h were higher in group I(P<0.01).Group E had higher incidence of lower limb numbness than group I.Conclusion PCIA with butorphanol is more effective than PCEA with butorphanol for postoperative analgesia with less adverse effect in patients underwent Cesarean section.

关 键 词：宫缩痛 剖宫产术 布托啡诺 镇痛 

分 类 号：R614[医药卫生—麻醉学]