硬膜外自控镇痛对剖宫产产妇微循环指标的影响分析  

Impact analysis of patient-controlled epidural analgesia on the microcirculation indexes of puerperants with cesarean section

作　　者：胡艳 徐萌燕 

机构地区：[1]江西省萍乡市卫生学校外妇教研室,江西萍乡337200 [2]浙江大学医学院附属妇产科医院麻醉科,杭州310006

出　　处：《中国当代医药》2013年第35期89-90,共2页China Modern Medicine

基　　金：浙江省医药卫生一般研究计划(2011KYB046)

摘　　要：目的 观察硬膜外自控镇痛对剖宫产产妇微循环指标的影响.方法 选取2011年7月～2013年5月于本院进行剖富产的78例产妇作为研究对象,根据随机数字表法将其分为对照组39例和观察组39例;对照组术后未进行术后镇痛干预,观察组则进行硬膜外自控镇痛干预,比较两组产妇生产前后24、48 h的微循环相关指标.结果 观察组生产后24、48 h的甲襞微循环与血液黏度指标均优于对照组（P＜0.05）.结论 硬膜外自控镇痛可有效改善剖富产产妇微循环状态,有助于产妇尽快康复.Objective To observe the influence of patient-controlled epidural analgesia on the microcirculation index- es of puerperants with cesarean section. Methods 78 puerperants with cesarean section in our hospital from July 2011 to May 2013 were selected as research object,and all the puerperants were divided into control group （39 cases） and observation group （39 cases） based on the method of random digits table;the control group was without postoperative analgesia,the observation group was given with patient-controlled epidural analgesia,then the microcirculation related indexes of the two groups before the operation and at 24 h and 48 h after the operation were compared. Results The nailfold microcirculation and blood viscosity indexes of observation group at 24,48 h after the operation were all better than those of control group（P〈0.05）. Conclusion The patient-controlled epidural analgesia can effectively improve the microeirculation state of puerperants with cesarean section,and it is helpful for the rapid recovery.

关 键 词：硬膜外自控镇痛 剖宫产 微循环 影响 

分 类 号：R719.8[医药卫生—妇产科学]