腹膜外剖宫产术与经腹剖宫产术分娩的对比研究  

Extraperitoneal cesarean section versus transabdominal caesarean section for pain situation of puerperas

作　　者：高鹰[1] GAO Ying(Subei People′s Hospital, Yangzhou, Jiangsu, 225001)

机构地区：[1]江苏省苏北人民医院,江苏扬州225001

出　　处：《实用临床医药杂志》2018年第23期76-78,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨腹膜外剖宫产术(ECS)对产妇疼痛情况的影响。方法将62例有剖宫产指征的足月妊娠孕妇随机分为ECS组与经腹剖宫产术(TCS)组,每组31例。应用视觉模拟评分量表(VAS)对患者术后的最大疼痛程度进行评分。结果ECS组产妇术后第1天手术部位疼痛程度显著低于TCS组(P <0. 05)。2组产妇术中恶心、呕吐评分、肩关节疼痛评分、术后第1天非甾体抗炎镇痛药和阿片类镇痛药的需求情况比较,差异有统计学意义(P <0. 05或P <0. 01)。出院时及出院后6周,2组尿路感染与肠功能障碍发生率无显著差异(P> 0. 05)。结论 ECS可减轻剖宫产术后疼痛,减少术后镇痛药的使用量。Objective To explore the influence of extraperitoneal cesarean section(ECS)on pain situation of puerperas.Methods A total of62full-term pregnant women with indications for cesarean section were randomly divided into ECS group and transabdominal caesarean section(TCS)group,with31cases in each group.A visual analog scale(VAS)was used to assess the patients′maximum abdominal pain.Results In the ECS group,the pain level at the first day after operation was significantly lower than that in the TCS group(P<0.05).There were significant differences in nausea and vomiting score,shoulder pain score,demands of non-steroidal anti-inflammatory analgesics and opioid analgesics on the first day after operation between the two groups(P<0.05or P<0.01).There were no significant differences in the incidence rates of urinary tract infection and intestinal dysfunction at discharge and6weeks after discharge between the two groups(P>0.05).Conclusion ECS can relieve pain after cesarean section and reduce the dosage of postoperative analgesics.

关 键 词：腹膜 剖宫产术 疼痛 并发症 镇痛药 腹膜外剖宫产 经腹剖宫产 

分 类 号：R719.8[医药卫生—妇产科学]