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目的观察硬膜外微量镇痛泵在妇产科手术后的镇痛效果,为妇产科术后镇痛提供依据。方法将给予硬膜外微量镇痛泵的妇产科手术患者(176例)做为观察组,术毕硬膜外导管连接镇痛泵,给吗啡8mg,氟哌啶2.5mg,持续给药48h;不给予镇痛泵者为对照组(206例),疼痛难忍时给杜非(即杜冷丁、非那根)合剂半量肌注。两组病人为随机选择。结果观察组术后镇痛效果良好,两组比较差异显著(P<0.05)。术后肠蠕动恢复、肛门排气时间两组无显著差异(P>0.05)。剖宫产手术产后阴道流血、子宫复旧两组比较无显著差异。而开奶时间、喂奶次数、下奶时间两组比较差异显著。结论镇痛泵在妇产科手术后的镇痛效果良好,对剖宫产病人能促进泌乳,保证按需哺乳,提高母乳喂养成功率。
Objective To observe the analgesic effect of epidural microanalysis pump after obstetrics and gynecology operation and provide basis for analgesia after obstetrics and gynecology. Methods Obstetrics and gynecology patients with epidural analgesia pump (176 cases) were used as the observation group. The epidural catheter was used to connect the analgesia pump, and morphine 8mg, haloperidol 2.5mg and continuous administration 48h ; Those who did not give analgesic pump were the control group (206 cases). When the pain was unbearable, half of the intramuscular injection was given to DUFE (ie, pethidine, phenazone). Two groups of patients were randomly selected. Results The postoperative analgesia in the observation group was good, with significant difference between the two groups (P <0.05). Postoperative bowel recovery, anal exhaust time was no significant difference between the two groups (P> 0.05). Cesarean section postpartum vaginal bleeding, uterine involution of two groups no significant difference. The opening of milk time, the number of breastfeeding, milk time was significantly different between the two groups. Conclusion Analgesia pump analgesic effect after obstetrics and gynecology surgery good, for cesarean section patients can promote lactation, ensure breastfeeding on demand and improve the success rate of breastfeeding.