剖宫产术后的运用不同镇痛药物效果分析.docVIP

剖宫产术后的运用不同镇痛药物效果分析 　　[摘要] 目的 评价剖宫产术后不同镇痛药物效果。方法 选择2012年5月―2013年6月在郑州大学第五附属医院妇产科住院择期进行剖宫产产妇196例，随机分为试验1组和试验2组，试验1组术后给予柠檬酸舒芬太尼注射液+复合罗哌卡因注射液，试验2组给予柠檬酸芬太尼注射液+复合罗哌卡因注射液，评价两组镇痛效果和不良反应情况。结果 两组产妇术后疼痛VAS评分均随时间推移而改善，试验1组各时点VAS评分均低于试验2组，差异均具有统计学意义（P0.05）；试验1组术后镇痛总不良反应发生率为23.5%，远低于试验2组的39.8%，差异具有统计学意义（P0.05）。结论 舒芬太尼用于剖宫产术后硬膜外镇痛具有起效快、作用强、持续时间长、效果好、副反应少等优点，值得在临床推广使用。 　　[关键词] 剖宫产术后；镇痛；药物疗效；分析 　　[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742（2015）09（a）-0142-03 　　Analysis on the Effect of Using Different Analgesic Drugs after Cesarean Section 　　WANG Li-hong， HU Qiang-fu ， YANG Nan 　　Anesthesia department， The Affiliated Hospital of Zhengzhou University， Zhengzhou， Henan Province， 450000 China 　　[Abstract] Objective To investigate the effect of using different analgesic drugs after cesarean section. Methods 196 cases of elective cesarean section were selected from May 2012 to June 2013 at the Fifth Affiliated Hospital of Zhengzhou University. Randomly divided into experimental group 1 and group 2. In experimental group 1， puerpera was given sufentanil citrate injection + ropivacaine injection. In group 2， was given fentanyl citrate injection + ropivacaine injection. Analgesic efficacy and adverse reactions were evaluated. Results Two groups of maternal postoperative pain VAS scores were improved over time. At each time， the VAS score in experimental group 1 was lower than group 2， the differences were statistically significant （P0.05）. The total incidence of adverse reactions in experimental group 1 was 23.5%， much lower than group 2， which was 39.8%， the difference was statistically significant （P0.05）. Conclusion Sufentanil used for epidural analgesia after cesarean section had the advantage of rapid onset， strong role， long duration， good effect and fewer adverse reactions. It was worthy of promoting clinical use. 　　[Key words] Cesarean section； Analgesia； Drug efficacy； Analysis 　　由于剖宫产手术安全性和适用指征的宽泛性，受到越来越多的孕妇及家属的青睐，导致我国剖宫产率急剧上升[1]，而刨宫产手术对母体造成的损害远大于自然分娩，术后疼痛剧烈、镇痛要求高，严重影响产妇术后生活