多模式预防性镇痛对剖宫产术后产妇早期宫缩性急性疼痛程度的影响  

Effect of Multimodal Preventive Analgesia on the Degree of Acute Contractile Pain in Pregnant Women after Cesarean Section

作　　者：叶雪芬 谢梅娟[1] 马静林 YE Xuefen;XIE Meijuan;MA Jinglin(Obstetrics Department,Maternity and Child Health Hospital of Bao'an District,Shenzhen,Guangdong 518100)

机构地区：[1]深圳市宝安区妇幼保健院产科,广东深圳518100

出　　处：《智慧健康》2022年第11期58-60,共3页Smart Healthcare

摘　　要：目的 剖宫产后产妇会产生较为剧烈的疼痛感受,会引起产妇生理改变,导致免疫力下降,产生精神和心理改变,因此需采取有效的措施降低患者疼痛感。本研究给予剖宫产术后产妇多模式预防性镇痛,以探寻其对产妇早期宫缩性急性疼痛程度的影响。方法 经本院伦理委员会批准后将2019年1月-2020年6月间60例深圳市宝安区妇幼保健院收治的剖宫产产妇纳入本次研究,所有患者在签署知情同意书后按照随机数字表法分为两组,对照组30例予以取常规疼痛干预,研究组30例在对照组基础上加以多模式预防性镇痛干预。比较两组患者宫缩性疼痛程度、血糖水平、血乳酸水平以及康复情况。结果 研究组术后6h、12h、24h时VAS评分均低于对照组(P <0.05)。两组产妇术前血糖和血乳酸水平比较无显著性差异(P>0.05),术后两组血糖和血乳酸水平均高于术前,且研究组低于对照组(P <0.05)。研究组术后首次下床时间、恶露量均低于对照组,术后12h子宫高度高于对照组(P <0.05)。结论 多模式预防性镇痛过整合多种镇痛方法、镇痛药物等在整个围手术期内给予剖宫产术后产妇疼痛管理,可有效减轻产妇早期宫缩性急性疼痛程度,抑制产妇应激反应,加快产褥期康复。Objective Postpartum cesarean section will produce more severe pain, which will not only cause maternal physiological changes, reduce immunity, and produce mental and psychological changes. Therefore, effective measures should be taken to reduce the pain of patients. In this study,multimodal preventive analgesia was given to pregnant women after cesarean section to explore its effect on the degree of acute contractile pain in early pregnancy. Methods With the approval of the ethics committee of our hospital, 60 cesarean section parturients treated in our hospital from January 2019 to June 2020 were included in this study. After signing the informed consent, all patients were randomly divided into two groups. 30 cases in the control group were given routine pain intervention, and 30 cases in the study group were given multimodal preventive analgesia intervention on the basis of the control group. The degree of uterine contraction pain, blood glucose level, blood lactate level and rehabilitation were compared between the two groups. Results The VAS scores at 6h, 12h and 24h in the study group were lower than those in the control group(P <0.05). There was no significant difference in the levels of blood glucose and blood lactate between the two groups(P >0.05). The levels of blood glucose and blood lactate in the two groups were higher than those before operation, and the study group was lower than that in the control group(P <0.05). The first time out of bed and the amount of lochia in the study group were lower than those in the control group, and the height of uterus 12 hours after operation was higher than that in the control group(P <0.05). Conclusion Multimodal preventive analgesia integrates a variety of analgesic methods and analgesics, and gives maternal pain management after cesarean section in the whole perioperative period, which can effectively reduce the degree of early uterine contraction acute pain, inhibit maternal stress response, and accelerate puerperal rehabilitation.

关 键 词：剖宫产 多模式预防性镇痛 宫缩性急性疼痛 应激反应 

分 类 号：R614[医药卫生—麻醉学]