摘要
Abstract
Objective To discuss and compare the analgesic effect between patient-controlled epidural and intravenous analgesia after cesarean section and its effect on breast feeding.Methods Totally 108 patients scheduled cesarean section in General Hospital of Jinan Military Command during May 2015 to January 2016 were selected.According to the random number table method,all patients were randomly divided into experimental group and control group.There were 54 patients in each group.The patients in the experimental group accepted patient-controlled epidural analgesia,while the patients in control group accepted patient-controlled intravenous analgesia for postoperative analgesia.The incidence of adverse reactions,motor nerve block score (Bromage score),the times of breast-feeding in 24h,postoperative visual analogue scale (VAS) and the rate of artificial feeding were observed and compared between two groups.Results There were no significant differences in Bromage scores between two groups at each time point during 48h (t value was 0.00,0.52,1.22,0.27,0.38,0.54,all P ＞ 0.05).The VAS scores of patients in experimental group at 4h,6h,12h,24h were significantly lower than those in control group (t value was 4.23,2.89,4.32,18.38,all P ＜ 0.05).The feeding times of patients in experimental group were 15.92 ± 9.06 within 48h,which significantly higher than those in control group,whose feeding times were 11.12 ± 7.13.The difference was statistically significant (t =3.76,P ＜ 0.01).The rate of artificial feeding in the experimental group was 24.1％,which was significantly lower than that in the control group (46.3％).The difference was statistically significant (x2 =9.362,P ＜ 0.05).The incidence of nausea and vomiting in the experimental group was 3.7％,which was significantly lower than that in the control group (18.5％).The difference was statistically significant (x2 =8.728,P ＜ 0.05).There was no significant difference in the incidences of urinary retention and adverse reactions such as skin itch between two groups (x2 value was 0.816,and 0.626,both P ＞ 0.05).Conclusion The analgesic effect of patient-controlled epidural analgesia after cesarean section is better than that of intravenous analgesia and has a relatively small impact on breastfeeding.关键词
硬膜外自控镇痛/母乳喂养/剖宫产/静脉自控镇痛/镇痛效果Key words
patient-controlled epidural analgesia/breast feeding/cesarean section/patient-controlled intravenous analgesia/analgesic effect分类
医药卫生
