智能化患者自控镇痛对剖宫产产妇术后康复的影响  

Effect of intelligent self-controlled analgesia on postoperative rehabilitation of women undergoing caesarean section

作　　者：周芳[1] 张宝华 顾湾 张清[1] ZHOU Fang;ZHANG Baohua;GU Wan;ZHANG Qing(Department of Anesthesiology,Jiujiang Maternal and Child Health Hospital,Jiangxi Province,Jiujiang332000,China)

机构地区：[1]江西省九江市妇幼保健院麻醉科,江西九江332000

出　　处：《中国当代医药》2022年第28期122-125,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202120062)。

摘　　要：目的研究智能化患者自控镇痛对剖宫产产妇术后康复的影响。方法选取2021年1月至5月九江市妇幼保健院进行剖宫产术后镇痛的120名产妇作为研究对象,按照随机数字表法分为I组和P组,每组60名。I组采用智能化管理联合智能化患者自控镇痛(IMPA-Ai-PCA)方案,P组采用常规患者自控镇痛(PCA)方案。比较两组产妇术后6、12、24、48 h的疼痛视觉模拟量表(VAS)评分,以及不良反应发生情况、产妇满意度、术后下地行走时间、排气时间。结果产妇术后12 h疼痛程度最高,两组产妇术后12 h的VAS评分高于术后6、24、48 h,差异有统计学意义(P<0.05);I组产妇术后24、48 h的VAS评分低于P组,差异有统计学意义(P<0.05)。I组产妇的不良反应总发生率低于P组,差异有统计学意义(P<0.05)。I组产妇的满意度评分高于P组,差异有统计学意义(P<0.05)。I组产妇的下地行走时间及排气时间早于P组,差异有统计学意义(P<0.05)。结论在剖宫产术后镇痛中实施IMPA-Ai-PCA方案,可达到良好的镇痛效果,且不良反应少,产妇满意率高,促进产妇术后下床行走和排气,促进剖宫产术后快速康复。Objective To study the effect of intelligent self-controlled analgesia on the postoperative rehabilitation of women undergoing caesarean section.Methods A total of 120 women who underwent post-cesarean analgesia in Jiujiang Maternal and Child Health Hospital from January to May 2021 were selected as the research objects.They were divided into I group and P group according to random number table method,with 60 cases in each group.Group I received intelligent management combined with intelligent patient-controlled analgesia(IMPA-Ai-PCA),and group P received conventional patient-controlled analgesia(PCA).The visual analogue scale(VAS)scores at 6,12,24 and 48 hours after the operation,adverse reactions,puerpera satisfaction,postoperative walking time and exhaust time were compared between the two groups.Results The highest level of pain occurred 12 h after operation,the VAS score of the two groups at 12 h after operation was higher than that at 6,24 and 48 h after operation,and the differences were statistically significant(P<0.05).The VAS score of group I at 24 and 48 h after operation was lower than that of group P,and the difference was statistically significant(P<0.05).The total incidence of adverse reactions in group I was lower than that in group P,and the difference was statistically significant(P<0.05).The satisfaction score of group I was higher than that of group P,and the difference was statistically significant(P<0.05).The walking time and exhaust time of parturients in group I were earlier than those in group P,and the differences were statistically significant(P<0.05).Conclusion The implementation of IMPA-Ai-PCA program in postoperative analgesia of cesarean section can achieve good analgesic effect,with less adverse reactions,high satisfaction rate of puerpera,promote the ambulation and exhaust after labor,and promote the rapid recovery after cesarean section.

关 键 词：剖宫产 智能化患者自控镇痛 产妇 术后康复 

分 类 号：R714[医药卫生—妇产科学]