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目的 :观察自控镇痛 (硬膜外患者自控镇痛 ,PCEA)对于剖宫产术后的镇痛效果以及 PCEA对于剖宫产术后患者恢复的影响。方法 :前瞻性观察了 PCEA镇痛 110例及非 PCEA镇痛 67例选择性剖宫产患者的镇痛效果 ,并且观察了PCEA镇痛对剖宫产术后患者恢复的影响。结果 :PCEA对于剖宫产术后 6及 2 4小时镇痛有效率分别为 98%和 94% ,与对照组比较 ,差异显著 ( P <0 .0 5 ) ,镇痛效果优于对照组。另外 PCEA镇痛患者术后开奶时间较对照组提前 ( P <0 .0 5 )。而患者产后出血发生率、肠蠕动恢复时间及下床活动时间与对照组比较 ,差异不显著 ( P >0 .0 5 )。结论 :PCEA用于剖宫产手术后镇痛 ,有良好的镇痛效果 ,安全性高
OBJECTIVE: To observe the effect of controlled analgesia (PCEA) on analgesia after cesarean section and the effect of PCEA on the recovery of patients after cesarean section. Methods: The analgesic effects of 110 PCEA analgesia patients and 67 non-PCEA analgesia patients under selective cesarean section were prospectively observed. The effects of PCEA analgesia on the recovery of patients after cesarean section were also observed. Results: The analgesic efficiencies of PCEA at 6 and 24 hours after cesarean section were 98% and 94%, respectively, which were significantly different from those of the control group (P <0.05). The analgesic effect was better than that of the control group. In addition PCEA analgesic patients after opening milk time ahead of the control group (P <0. 05). The incidence of postpartum hemorrhage, bowel recovery time and ambulation time compared with the control group, the difference was not significant (P> 0.05). Conclusion: PCEA is suitable for analgesia after cesarean section operation and has good analgesic effect and high safety