智能化病人自控镇痛在择期剖宫产产妇术后的应用效果  

Application effect of intelligent patient-controlled analgesia after cesarean section

作　　者：黄锡强[1] 袁炳林 刘瑾[1] HUANG Xi-qiang;YUAN Bing-lin;LIU Jin(First Department of Surgical Anesthesia,Zhongshan People's Hospital,Zhongshan 528400,Guangdong,CHINA)

机构地区：[1]中山市人民医院手术麻醉一科,广东中山528400

出　　处：《海南医学》2025年第3期421-424,共4页Hainan Medical Journal

基　　金：广东省中山市科学技术局项目(编号:2023B1017)。

摘　　要：目的观察智能化病人自控镇痛(Ai-PCA)在择期剖宫产产妇术后的临床应用效果。方法回顾性分析2023年1月至2024年3月中山市人民医院收治的200例择期剖宫产术产妇的临床资料,根据术后镇痛方式的不同,将产妇分为观察组110例和对照组90例。两组产妇均使用术后静脉镇痛,对照组产妇使用传统PCA进行术后镇痛,观察组产妇使用Ai-PCA进行术后镇痛。术后1 h、2 h、4 h、8 h,到床旁对产妇行镇痛访视,记录两组产妇静息疼痛评分、活动疼痛评分及镇静评分,观察术后恢复情况(肛门排气、肠鸣音恢复和下地时间)和不良反应(呼吸抑制、恶心呕吐及瘙痒)发生情况。结果观察组产妇术后1 h、2 h、4 h、8 h的静息疼痛评分分别为(2.24±0.81)分、(2.01±0.65)分、(1.64±0.52)分、(1.05±0.38)分,明显低于对照组的(2.45±0.79)分、(2.37±0.72)分、(1.97±0.53)分、(1.42±0.35)分,差异均有统计学意义(P<0.05);观察组产妇术后1 h、2 h、4 h、8 h的活动疼痛评分分别为(3.15±0.83)分、(3.22±0.84)分、(2.24±0.72)分、(1.41±0.53)分,明显低于对照组的(3.64±1.12)分、(3.71±1.23)分、(3.16±0.93)分、(2.24±0.56)分,差异均有统计学意义(P<0.05);而两组产妇术后1 h、2 h、4 h、8 h的镇静评分比较,差异均无统计学意义(P>0.05);观察组产妇的肛门排气、肠鸣音恢复及下地时间明显短于对照组,差异均有统计学意义(P<0.05);观察组产妇术后的不良反应总发生率为5.45%,明显低于对照组的16.67%,差异有统计学意义(P<0.05)。结论Ai-PCA在择期剖宫产术后的应用效果良好,能够显著减轻产妇静息、活动疼痛,同时减少不良反应的发生,具有临床应用价值。Objective To observe the clinical effect of intelligent patient-controlled analgesia(Ai-PCA)after cesarean section.Methods The clinical data of 200 women scheduled for cesarean section in Zhongshan People's Hospital from January 2023 to March 2024 were retrospectively analyzed.According to the different postoperative analgesia methods,the women were divided into the observation group(110 cases)and the control group(90 cases).Postoperative intravenous analgesia was used in both groups,traditional PCA was used in the control group,and Ai-PCA was used in the observation group.At 1 h,2 h,4 h,and 8 h after the surgery,the parturients were visited at the bedside.The resting pain scores,activity pain scores,and sedation scores of the two groups were recorded,and the postoperative recovery(anal exhaust,recovery of bowel sounds,and ambulation time)and occurrence of adverse reactions(respiratory depression,nausea and vomiting,and itching)were observed.Results The resting pain scores at 1 h,2 h,4 h and 8 h after surgery in the observation group were(2.24±0.81)points,(2.01±0.65)points,(1.64±0.52)points,and(1.05±0.38)points,respectively,which were significantly lower than control groups(2.45±0.79)points,(2.37±0.72)points,(1.97±0.53)points,(1.42±0.35)points(P<0.05).The activity pain scores at 1 h,2 h,4 h,and 8 h after surgery in the observation group were(3.15±0.83)points,(3.22±0.84)points,(2.24±0.72)points,and(1.41±0.53)points,which were significantly lower than the control groups(3.64±1.12)points,(3.71±1.23)points,(3.16±0.93)points,(2.24±0.56)points(P<0.05).There was no significant difference in sedation scores at 1 h,2 h,4 h,and 8 h after surgery between the two groups(P>0.05).The anal exhaust,recovery of bowel sound,and ambulation time in the observation group were significantly shorter than those in the control group(P<0.05).The total incidence of adverse reactions after delivery in the observation group was 5.45%,which was significantly lower than 16.67%in the control group(P<0.05).Conclusion Ai-PCA has g

关 键 词：剖宫产 智能化病人自控镇痛 智能化管理模式 疼痛评分 镇静评分 不良反应 

分 类 号：R719.8[医药卫生—妇产科学]