探讨不同镇痛方法用于妇产科患者术后阵痛的效果  

Study on Application Effect of Different Analgesia Methods in the Postoper-ative Analgesia of Patients in the Department of Gynaecology and Obstetrics

作　　者：孙荣春[1] 高吉中 

机构地区：[1]利津县第二人民医院妇产科,山东东营257447 [2]利津县第二人民医院皮肤科,山东东营257447

出　　处：《中外医疗》2017年第2期100-102,共3页China & Foreign Medical Treatment

摘　　要：目的探讨不同镇痛方法用于妇产科患者术后阵痛的临床效果。方法根据镇痛方式的不同将方便选取的2014年1月—2015年12月在该院行妇产科手术治疗的123例患者分为单纯静脉自控镇痛组(A组、41例)、连续硬膜外微量镇痛泵注射组(B组、41例)以及微量镇痛泵注射联合静脉自控镇痛组(C组、41例),并比较3组患者治疗前后VAS疼痛评分、临床镇痛效果和不良反应发生率。结果治疗前,C组患者VAS疼痛评分与B组和A组比较差异无统计学意义(P>0.05),治疗后C组患者VAS疼痛评分与B组和A组比较差异有统计学意义(P<0.05);C组患者其镇痛优良率(95.1%)与B组(80.5%)和A组(75.6%)比较差异有统计学意义(P<0.05);C组(95.1%)和A(73.1%)、B组(80.5%)患者轻度镇静比较差异有统计学意义(P<0.05);C组(4.9%)和A组(29.3%)、B组(19.5%)患儿不良反应发生率之间比较差异有统计学意义(P>0.05)。结论微量镇痛泵注射联合静脉自控联合技术对妇产科手术治疗患者镇痛效果较佳,且不良反应发生率均较轻微,未见严重不良反应发生率,该方法值得推广应用。Objective To study the clinical effect of different analgesia methods in the postoperative analgesia of patients in the department of gynaecology and obstetrics. Methods 123 cases of patients with operative treatment in the department of gynaecology and obstetrics in our hospital from January 2014 to December 2015 were selected as the research groups according to the analgesia methods and divided into three groups with 41 cases in each, the group A adopted the patient-controlled intravenous anesthesia, the group B adopted the continuous epidural micro- analgesic pump injection, and the group C adopted the patient-controlled intravenous anesthesia and continuous epidural micro- analgesic pump injection, and the VAS pain score, clinical analgesia effect and incidence rate of adverse reactions before and after treatment of the three groups was compared. Results The difference in the VAS pain score between the three groups before treatment had no statistical significance（P0.05）, and the difference in the VAS pain score between the three groups had statistical significance after treatment（P0.05）, and the difference in the excellent and good rate of analgesia between the group C, group B and group A had statistical significance（95.1% vs 80.5% vs 75.6%）（P 0.05）, and the difference in the ratio of patients with mild sedation between the group C and group A and group B had statistical significance（95.1%, 73.1%, 80.5%）（P0.05）,and the difference in the incidence rate of adverse reactions between the group C and group A and group B had no statistical significance（4.9%, 29.3%, 19.5%）（P0.05）. Conclusion The analgesia effect of micro- analgesic pump injection and patient-controlled intravenous anesthesia for the operative patients in the department of gynaecology and obstetrics is good,and the incidence rate of adverse reactions is mild and there was no adverse reactions, which is worth promotion and application.

关 键 词：静脉自控镇痛 硬膜外自控镇痛 微量镇痛泵注射 镇痛效果 

分 类 号：R71[医药卫生—妇产科学]