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剖宫产术后镇痛对产后生理恢复的作用
引用本文:陈晓莉,杨瑞萍,沈亚伟. 剖宫产术后镇痛对产后生理恢复的作用[J]. 河北职工医学院学报, 2011, 0(2): 40-42
作者姓名:陈晓莉  杨瑞萍  沈亚伟
作者单位:张家口市第五医院妇产科;保定市第五医院外科;张家口市妇幼保健院麻醉科;
基金项目:河北省张家口市科技攻关项目(0921)
摘    要:目的探讨剖宫产术后芬太尼硬膜外自控镇痛(PCEA)对产后生理的影响。方法选择400例硬膜外麻醉剖宫产的产妇,自愿选择PCEA组200例,术毕硬膜外导管连接PCEA芬太尼混合液装置,对照组200例不用PCEA,术后6h肌肉注射杜非合剂半量。观察镇痛效果及产后生理恢复情况。结果 2组术后24h镇痛效果差异和24h哺乳次数有统计学意义(P〈0.01),但产后出血、子宫复旧情况及排气时间长短无统计学意义(P〉0.05)。结论剖宫产后PCEA芬太尼镇痛效果确切,促进母乳喂养成功实施,不增加产后出血量,有利于产后恢复,值得推广。

关 键 词:剖宫产  硬膜外自控镇痛  产后生理

Effects of postoperative analgesia to physiology recovery after cesarean section
CHeN Xiaoli,YANg Ruiping,SHeN Yawei. Effects of postoperative analgesia to physiology recovery after cesarean section[J]. Journal of Hebei Medical College for Continuing Education, 2011, 0(2): 40-42
Authors:CHeN Xiaoli  YANg Ruiping  SHeN Yawei
Affiliation:CHeN Xiaoli1,YANg Ruiping2,SHeN Yawei3(1.Department of gynaecology and obstetrics,the Fifth Hospital of Zhangjiakou,Zhangjiakou 075000,China,2.Department of Surgery,the Fifth hospital of Baoding,Baoding 071000,3.Department of Anesthesiology,Maternal and Child Health Hospital of Zhangjiakou City,China)
Abstract:Objective To explore the physiology effects about PCeA after cesarean section.Methods Choose 400 cases on cesarean section with epidural anesthesia,200 cases with PCeA group,which connect the epidural catheters to the device mixed by PCeA and fontanel.200 cases without PCeA in that contrast group,which intravenous injection of the half of mixture of pethidine and phenerganin in 6 hours after operation.Then observe the analgesic effects and the physiology reaction situations.Results There was a distinct diff...
Keywords:cesarean section  PCeA  postoperative physiology  
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