中国全科医学2016，Vol.19Issue(15)：1755-1757,3.DOI:10.3969/j.issn.1007-9572.2016.15.004
硬脊膜外注射地塞米松预防剖宫产术后急性腰背部疼痛的临床观察
Efficacy of Epidural Dexamethasone in the Prevention of Acute Low Back Pain After Cesarean Section
摘要
Abstract
Objective To investigate the efficacy of the epidural injection of dexamethasone in the prevention of acute low back pain after cesarean section. Methods From February to July in 2015,we enrolled 60 patients who underwent cesarean section with combined spinal - epidural analgesia and were accorded with inclusion and exclusion criteria from Yan'an University Affiliated Hospital. Using random number table method,we divided the patients into two groups:dexamethasone group(group A,n = 30)and 0. 9% sodium chloride solution group(group B,n = 30). Patients of group A were administrated with epidural dexamethasone,and patients of group B were administrated with 0. 9% sodium chloride solution. General data of the patients were recorded,including age,body mass,intraoperative blood loss and duration of operation. The acute low back pain after operation and the white blood cell count and C reactive protein level on the second day after operation were observed and recorded. Results One patient in group B was excluded due to excessively long duration of operation. Group A was lower than group B in the incidence of acute lumbar back pain after operation(P < 0. 05). The two groups were not significantly different in white blood cell count and C - reactive protein level(P > 0. 05). Conclusion Epidural dexamethasone can effectively prevent acute low back pain after cesarean section.关键词
麻醉,硬膜外/地塞米松/剖宫产术/腰痛/背痛Key words
Anesthesia,epidural/Dexamethasone/Cesarean section/Low back pain/Back pain分类
医药卫生引用本文复制引用
赵丹,余瑞云,李园园,兰忠平,倪家骧,杨立强,窦智..硬脊膜外注射地塞米松预防剖宫产术后急性腰背部疼痛的临床观察[J].中国全科医学,2016,19(15):1755-1757,3.基金项目
北京市医院管理局临床医学发展专项经费资助项目 （）
