产妇剖宫产术后PCA镇痛疗效及满意率研究  

Efficacy and satisfaction rate of PCA analgesia after cesarean section

作　　者：李琼[1] Li Qiong(Department of Science and Education,Luqiao Hospital of Traditional Chinese Medicine,Taizhou,Zhejiang,318050,China)

机构地区：[1]台州市路桥区中医院科教科,浙江台州318050

出　　处：《当代医学》2020年第19期43-46,共4页Contemporary Medicine

摘　　要：目的探究经静脉和硬膜外给药方式的镇痛疗效和产妇满意率,为临床剖宫产术后PCA镇痛提供一定的参考依据。方法选取2018年6月至2019年6月本院妇产科收治的剖宫产产妇153例作为研究对象,按照术后PCA镇痛的给药途径分为静脉给药组(PCIA组,n=83)和硬膜外给药组(PCEA组,n=70),PCIA组为剖宫产术后PCA镇痛静脉给药,PCEA组为剖宫产术后PCA镇痛硬膜外给药,比较两组产妇剖宫产术后PCA镇痛疗效及满意程度。结果两组产妇分泌初乳时间比较差异无统计学意义,但PCIA组产妇肠排气时间和术后下地时间均短于PCEA组(P<0.05);术后12、24 h VAS评分比较差异无统计学意义,但PCIA组产妇术后36、48 h VAS评分均优于PCEA组(P<0.05);PCIA组产妇术后镇痛满意度高于PCEA组(P<0.05);两组产妇住院期间镇痛不良事件发生率比较差异无统计学意义(P<0.05)。结论PCIA和PCEA两种镇痛方式对于剖宫产术后镇痛均较好,但PCIA镇痛对于产后恢复以及镇痛方面优于PCEA镇痛,更值得剖宫产术后镇痛推广。Objective To explore the analgesic effect of intravenous and epidural administration and the satisfaction rate of parturient,and to provide reference for PCA analgesia after cesarean section.Methods 153 cases of cesarean section women admitted to our hospital from June 2018 to June 2019 were selected as the research subjects.According to the way of PCA analgesia,they were divided into intravenous administration group(PCIA group,n=83)and epidural administration group(PCEA group,n=70).PCIA group was treated PCA analgesia intravenous administration after cesarean section,and PCEA group was treated PCA analgesia epidural administration after cesarean section.The analgesic effect and satisfaction degree of PCA after parturition were compared between two groups.Results There was no significant difference in the time of colostrum secretion between two groups,but the time of intestinal exhaust and postoperative descending in PCIA group were shorter than that in PCEA group(P<0.05).There was no statistical difference in VAS scores at 12 h and 24 h after operation,but the VAS score at 36 h and 48 h of PCIA group was better than that of PCEA group.The postpartum analgesia satisfaction of the PCIA group was higher than that of the PCEA group(P<0.05);there was no significant difference in the incidence of analgesic adverse events between the two groups during the hospitalization(P<0.05).Conclusion PCIA and PCEA are better for postoperative analgesia after cesarean section.But PCIA is better than PCEA in postpartum recovery and analgesia,which is more worthy of promotion and learning.

关 键 词：剖宫产 PCA镇痛 疗效 满意率 

分 类 号：R614[医药卫生—麻醉学]