Pump-controlled analgesia after cesarean section to explore the use of time.doc

 PAGE \* MERGEFORMAT 11 Pump-controlled analgesia after cesarean section to explore the use of time Keywords:-controlled analgesia pump Controlled analgesia pump for mothers after cesarean section is concerned, is a safe and ideal method of analgesia, but it is in clinical use in the process of the negative side. Because fentanyl, opiate drug use and some man-made factors, there are some adverse reactions, such as urinary retention, drowsiness, phlebitis, and is not conducive to postoperative recovery of gastrointestinal function and the lochia discharges, affecting the body after recovery and breast-feeding. Therefore, the time to master the use of PCA is very important. In this paper, controlled analgesia after cesarean section pump out the best time to make a study. A clinical data 1.1 Object Maternity hospital from June 2004 to June 2007 of 200 cases of cesarean section, age 24 to 30 years (mean 26.3 years), gestational age 37 to 41 weeks, both primiparae, no complications, surgical indications are social factors. According to bed numbers were randomly divided into experimental group and control group, all 100 cases, each case were taken at cesarean section after maternal use of intravenous analgesia pump and indwelling catheterization. 1.2 Methods Cesarean section are used for each continuous epidural anesthesia, intraoperative intravenous catheter connected to the Bi-controlled analgesia pumps, use of analgesic drugs fentanyl and tramadol (or droperidol) mixture. Select LCP delivery method, that load (5ml) the amount of continuous infusion (2ml / h) PCA (patient-controlled analgesia 0.5ml / times, lock time of 15min). Experimental group, mothers in the cesarean section 24h-controlled analgesia pump out, while removal of indwelling catheter; the control group mothers according to their demand for cesarean section analgesia pump out at any time, but do not use the most time more than 72h, and 24h afte