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目的:观察剖宫产术后硬膜外与静脉镇痛的效果,为剖宫产术后镇痛提供参考。方法:从2009年1月至2010年12月间在我院进行剖宫产的产妇中随机筛选出61例采用硬膜外镇痛(即PCEA组),在术后采用硬膜外持续微量注射;61例采用是静脉镇痛(即PCIA组),在术后采用静脉自控微量注射。结果:PCEA组发生不良反应:恶心呕吐18例(占29.5%),头痛头晕10例(占16.39%),皮肤瘙痒4例(占6.56%),合计32例;PCIA组发生不良反应:恶心呕吐10例(占16.39%),头痛头晕5例(占8.20%),皮肤瘙痒1例(占1.64%),合计16例。结论:硬膜外与静脉镇痛各有优略,具体选择何种镇痛方式,要根据患者具体状况和意愿来定。
Objective: To observe the effect of epidural and intravenous analgesia after cesarean section, and to provide reference for postoperative analgesia after cesarean section. Methods: From January 2009 to December 2010 in our hospital during cesarean section of the mother were randomly selected 61 cases of epidural analgesia (PCEA group), postoperative epidural sustained microinjection ; 61 cases were used intravenous analgesia (PCIA group), after intravenous controlled microinjection. Results: There were adverse reactions in PCEA group: nausea and vomiting in 18 cases (29.5%), headache and dizziness in 10 cases (16.39%), pruritus in 4 cases (6.56%), total 32 cases; PCIA group had adverse reactions: nausea and vomiting 10 cases (16.39%), headache and dizziness in 5 cases (8.20%), skin itching in 1 case (1.64%), a total of 16 cases. Conclusion: Epidural and intravenous analgesia each have excellent strategy, the specific choice of what kind of analgesia, according to the specific conditions and wishes of patients to be.