剖宫产术后持续镇痛与肌注镇痛的效果和不良反应观察  

Clinical observation of effects and side effects of PCEA and analgesia by injection of Demerol hydrochloride after caesarean operation

作　　者：蔡惠芳[1] 韦容[1] 

机构地区：[1]江苏大学附属医院妇产科,江苏镇江212001

出　　处：《南方护理学报》2004年第2期9-10,共2页Nanfang Journal of Nursing

摘　　要：目的更好地解决剖宫产术后疼痛及镇痛药物不良反应等问题。方法按入院单双日分为持续镇痛组及肌注镇痛组,观察两组镇痛效果和不良反应。结果应用持续镇痛泵的镇痛时间更长、效果更好,但存在尿潴留的问题,可以通过延长留置导尿时间来解决。结论剖宫产术后应用持续镇痛泵48h加留置尿管48h的方法,可以较好地解决剖宫产术后的疼痛问题和因使用镇痛泵造成的尿潴留不良反应。Objective To relieve pains and prevent side effects of analgesia medicine after caesarean operation. Methods 410 patients with caesarean operation were divided into patient controlled epidural analgesia (PCEA) group and injection group according the odd-numbered and even-numbered dates at admission. The analgesia effect and the side effects were observed. Results PCEA took the advantages of analgesia duration and better effects, but possessed the problem of urination retention, which could be alleviated by retaining the urinary catheter for longer time. Conclusion The method of application of PCEA plus urinary retention for 48 hours after caesarean operation is able to relieve the pains after caesarean operation and avoid the side effects from the analgesia pump.

关 键 词：剖宫产术 持续镇痛 肌注镇痛 不良反应 镇痛方法 

分 类 号：R713.41[医药卫生—妇产科学] R614[医药卫生—临床医学]