双氯芬酸钾片联合吗啡及盐酸异丙嗪用于剖宫产术后患者的效果分析  

ANALGESIA EFFECT OF DICLOFENAC POTASSIUM TABLETS COMBINED MORPHINE AND PROMETHAZINE HYDROCHLORIDE ON CESAREAN SECTION

作　　者：邸霞 邸春敬 

机构地区：[1]河北省秦皇岛市骨科医院,066000

出　　处：《中国煤炭工业医学杂志》2015年第6期943-946,共4页Chinese Journal of Coal Industry Medicine

摘　　要：目的探讨双氯芬酸钾片、吗啡及盐酸异丙嗪用于剖宫产术后的镇痛效果。方法选择择期子宫下段剖宫产的产妇分成三组,每组各100例。第一组为观察组,采用吗啡及盐酸异丙嗪配伍静脉缓慢泵入的同时口服双氯芬酸钾片;第二组为对照组1:单用吗啡及盐酸异丙嗪配伍静脉缓慢泵入;第三组为对照组2:舒芬太尼与托烷司琼配伍静脉缓慢泵入。观察三组术后镇痛效果、术后肛门排气时间、首次下床活动时间及不良反应发生率等情况。结果观察组及对照组2术后镇痛效果明显优于对照组1,差异有统计学意义(P<0.05)。观察组和对照组1、2术后肛门排气时间相当,差异无统计学意义(P>0.05)。观察组和对照组2首次下床活动时间明显少于对照组1,差异有统计学意义(P<0.05)。观察组和对照组1在不良反应发生率方面明显低于对照组2,差异有统计学意义(P<0.05)。结论双氯芬酸钾片、吗啡及盐酸异丙嗪术后镇痛效果极好,首次下床活动时间早,利于术后恢复,且不良反应发生率低,值得基层医院广泛使用。Objective To explore the analgesic effect of Diclofenac Potassium tablets, Morphine and Promethazine Hydrochloride in cesarean section. Methods Lower uterine segment cesarean delivery of maternal were divided into three groups, each group of 100 cases. The observation group was treated with Morphine and compatibility of Promethazine Hydrochloride slow intravenous pumping of oral Diclofenac Potassium tablets at the same time; The control group 1： treated with Morphine and compatibility of Promethazine Hydrochloride slow intravenous pumping; The control group 2： treated with Sufentanil and Tropane SiQiong compatibility vein slowly into the pump. The postoperative analgesia effect, ambulation anal exhaust time, for the first time after time and incidenee of adverse reactions were observed in three groups. Results Postoperative analgesic effect in observation group and control group 2 was better than control group 1, there were significant difference （P〈0.05）. There was no significant difference in post- operative anal exhaust time among observation group and control group 1, 2, （P〉0.05）. Out of bed activ- ity time in observation group and control group 2 was significantly less than the control group 1 C P 0.05）, and the incidence of adverse reactions in observation group and control group 1 was obviously lower than the control group 2, there were significant difference （P〈0.05）. Conclusion Postoperative analgesia effect of Diclofenac Potassium, Morphine and Promethazine Hydrochloride are very good with first time early am- bulation and low incidence of adverse reactions. It is worthy of basic- level hospitals widespread use.

关 键 词：双氯芬酸钾片 吗啡 盐酸异丙嗪 舒芬太尼 托烷司琼 剖宫产 术后多模式镇痛 

分 类 号：R719.82[医药卫生—妇产科学]