中国医学创新2025，Vol.22Issue(5)：115-118,4.DOI:10.3969/j.issn.1674-4985.2025.05.027
硬膜外与静脉患者自控镇痛在剖宫产产妇中的应用效果分析
Application Effect of Epidural and Intravenous Patient-controlled Analgesia in Parturients Undergoing Cesarean Section
摘要
Abstract
Objective:To explore the application effect of epidural and intravenous patient-controlled analgesia(PCA)in parturients undergoing cesarean section.Method:The clinical data of 118 parturients who underwent cesarean section in Shangrao Maternal and Child Health Hospital from December 2020 to December 2023 were retrospectively analyzed and divided into two groups according to different postoperative analgesia methods.Group A(n=68)received epidural PCA,and group B(n=50)received intravenous PCA.Pain degree,sedation score,prolactin concentration,inflammatory factors levels and adverse reactions were compared between the two groups.Result:1 h after surgery,there was no significant difference in visual analogue scale(VAS)score between the two groups(P>0.05).Compared with the group B,VAS scores 8 and 24 h after surgery in the group A were lower,the difference was statistically significant(P<0.05).Compared with the group B,the prolactin concentration 24 h after surgery in the group A was higher,the differences were statistically significant(P<0.05).Compared with the group B,the levels of hypersensitive C reactive protein(hs-CRP)and procalcitonin(PCT)24 h after surgery in the group A were lower,the differences were statistically significant(P<0.05).Compared with the group B,the incidence of adverse reactions in the group A was lower,the difference was statistically significant(P<0.05).Conclusion:Compared with intravenous PCA,the application of epidural PCA in parturients undergoing cesarean section can achieve good analgesia effect,the pain degree of the parturient is low,the postoperative stress response is mild,and the safety is high.关键词
剖宫产/硬膜外患者自控镇痛/静脉患者自控镇痛Key words
Cesarean section/Epidural patient-controlled analgesia/Intravenous patient-controlled analgesia引用本文复制引用
庄流..硬膜外与静脉患者自控镇痛在剖宫产产妇中的应用效果分析[J].中国医学创新,2025,22(5):115-118,4.基金项目
上饶市科技计划项目(20202CKJ27) （20202CKJ27）
