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目的探讨凯扶兰用于产后镇痛的疗效及安全性。方法采用回顾性分析方法对2008年1月至2009年1月在中牟县人民医院侧切顺产,产后疼痛要求镇痛的初产妇220例进行分析,将220例产妇随机分为两组:凯扶兰组120例,去痛片组100例,两组产妇在年龄、孕周上差异无统计学意义(P>0.05),具有良好的可比性。结果两组服药0.5 h后疼痛等级均有明显下降,服药2 h内疼痛等级差异也无统计学意义(P>0.05),而服药2 h后差异有统计学意义(P<0.01),即可以认为凯扶兰的镇痛效果明显优于去痛片。结论产后镇痛不容忽视,它对产后康复及母乳喂养起着举足轻重的作用。而抗炎镇痛药物凯扶兰口服后起效快,吸收率高,不良反应少,不产生依赖性,特别适用于产后镇痛。
Objective To investigate the efficacy and safety of tribulus terrestris for postpartum analgesia. Methods A retrospective analysis method was used to analyze 220 primipara from January 2008 to January 2009 in Zhongmu County People’s Hospital for obstetric and analgesic pain relief. 220 maternal women were randomly divided into two groups: 120 patients in the group and 100 patients in the painkiller group. There was no significant difference between the two groups in age and gestational age (P> 0.05), which showed good comparability. Results The pain scores of the two groups were significantly decreased after 0.5 h of treatment, and there was no significant difference in the level of pain within 2 h after taking the medicine (P> 0.05), but the difference was statistically significant at 2 h after taking the medicine (P <0.01) Chela Fu Lan analgesic effect was significantly better than painkiller tablets. Conclusion postpartum analgesia can not be ignored, it plays a decisive role in postpartum rehabilitation and breastfeeding. The anti-inflammatory analgesic Kaifalin oral fast onset, high absorption rate, fewer adverse reactions, does not produce dependence, especially for postpartum analgesia.