剖宫产术后静脉自控镇痛效果观察及护理

目的: 观察剖宫产术后静脉自控镇痛(patient-controlled analgesia,PCA)效果,总结其护理经验。方法: 剖宫产术后自愿留置静脉PCA产妇50例为观察组,采用术后静脉PCA观察及护理。同期剖宫产术后常规哌替啶镇痛50例为对照组,采用术后常规护理。比较两组术后切口疼痛、产妇自行下床活动时间、副反应等指标。结果: 观察组镇痛有效率92.0%,明显优于对照组26.0%(P<0.05),且下床活动时间早于对照组(P<0.001)。观察组副反应2例,对照组3例。结论: 剖宫产术后应用静脉PCA给药,镇痛效果肯定,使用方便、安全;配合术前心理护理及术后静脉PCA密切监测,对产妇早日康复起重要作用。

Effect of patient-controlled intravenous analgesia after cesarean section

Objective:To observe the analgesia effect of patient-controlled analgesia(PCA) after cesarean section.Methods:Fifty puerperium women in the experimental group received PCA and care after cesarean section and 50 controls received donlantine and routine care.The indexes such as the wound pain,the time of bedside exercise after operation and the side-effects were compared.Results:The effective rates were 92.0% and 26.0% in the experimental group and control group respectively.The difference was significant between the two groups(P<0.05),and the experimental group had earlier ambulation(P<0.001).Side-effects were observed in two patients in the experimental group and three patients in the control group.Conclusions:It is effective and safe to use PCA after cesarean section.Psychological nursing before operation and PCA after operation play an important role in the recovery for lying-in women receiving cesarean section.