摘要
Abstract
Objective To compare the curative effect of patient-controlled epidural analgesia and patient-controlled intravenous analgesia in post-cesarean section pain management and their influence on breastfeeding .Methods A total of 100 pregnant women scheduled for cesarean section were randomly divided into two groups .Group A was the patient-controlled epidural analgesia group (n=50), and group B was the patient-controlled intravenous analgesia group ( n =50 ) .Pain visual analog scores ( VAS ) , Bromage scores , incidence of adverse reaction (nausea/vomiting, itching, urinary retention), breastfeeding frequency within 24h and proportion of artificial feeding were observed.Results The VAS at 4h, 6h, 12h and 24h was significantly lower in group A than in group B (t value was 4.17, 2.80, 4.21 and 18.24, respectively, all P<0.01).The Bromage scores were similar in both groups (t value was 0.00, 0.51, 1.25, 0.28, 0.39 and 0.56, respectively, all P>0.05).The incidence rate of nausea and vomiting in group B was higher than group A (χ2 =5.10,P<0.05).There was no significant differences in incidence rate of itching and urinary retention between two groups (χ2 value was 0.61 and 0.84, respectively, both P>0.05).In group A the breastfeeding frequency in 48h was significantly higher (t=3.04,P<0.01), but proportion of artificial feeding was lower (χ2 =4.40,P<0.05).Conclusion Patient-controlled epidural analgesia is better than patient-controlled intravenous analgesia for cesarean section .关键词
剖宫产/硬膜外自控镇痛/静脉自控镇痛/母乳喂养Key words
cesarean section/patient-controlled epidural analgesia/patient-controlled intravenous analgesia/breastfeeding分类
医药卫生
