不同术后镇痛方式对剖宫产产妇产后微循环与疼痛指标的影响比较  

Comparison of the Effects of Different Postoperative Analgesia Methodson Postpartum Microcirculation and Pain Index of Puerpera with Cesarean Section

作　　者：应泽华[1] 孙德友[1] 徐鹏[1] 李卫[1] 畅文丽[1] 齐成秋[1] 

机构地区：[1]绵阳市中心医院疼痛科麻醉科检验科产科,四川绵阳621000

出　　处：《四川医学》2017年第5期554-556,共3页Sichuan Medical Journal

摘　　要：目的观察不同术后镇痛方式对剖宫产产妇产后微循环与疼痛指标的影响程度。方法选取2014年7月至2015年8月于我院进行剖宫产的78例产妇为研究对象,将其随机分为A组(哌替啶肌内注射组)39例和B组(硬膜外自控镇痛组)39例,然后将两组患者术前及术后12h、24h及48h的甲襞微循环加权积分、血液黏度及疼痛相关血清指标进行比较。结果术前两组甲襞微循环加权积分、血液黏度及疼痛相关血清指标比较差异无统计学意义(P>0.05);术后12h、24h及48h B组甲襞微循环加权积分、血液黏度及疼痛相关血清指标均低于A组,差异有统计学意义(P<0.05)。结论硬膜外自控镇痛对于剖宫产产妇产后微循环与疼痛状态的控制效果相对更好,因此更为适用于剖宫产产妇。Objective To compare the effects of different postoperative analgesia methods on postpartum microcirculation and pain index of puerpera. Methods 78 cases of puerpera with cesarean section in our hospital from July 2014 to August 2015 were randomly divided into two groups. Group A were treated with pethidine intramuscular injection, and group B were given pa- tient-controlled epidural analgesia. Preoperative and postoperative （12h,24h,48h）nailfold microcirculation weighted score, blood viscosity and serum indexes of pain of the patients in two groups were compared. Results There was no significant difference of preoperative ailfold microcirculation weighted score, blood viscosity and serum indexes of pain between two groups （ P 〉 0. 05 ） and those indicators of group B at 12 th hour,24th hour and 48 th hour after the cesarean section was lower than group A （P 〈 0. 05 ）. Conclusion Patient-controlled epidural analgesia can better contrlpostopartum microcirculation and pain of puerpera, therefore it is more suitable for puerpera with cesarean section.

关 键 词：硬膜外自控镇痛 哌替啶肌内注射 剖宫产产妇 产后微循环状态 疼痛指标 

分 类 号：R614[医药卫生—麻醉学]