论文部分内容阅读
目的 :比较静脉自控镇痛 (PCA)与硬膜外注射吗啡、肌肉注射哌替啶在剖宫产术后镇痛效果及患者护士的满意度。方法 :6 0例患者在单连硬膜外麻醉下行急诊剖宫产手术 ,将其分为A ,B ,C组。A组 :PCA参数设置 ,负荷剂量 2mL ,锁定时间15min ,持续剂量 0 5mL/h。B组 :单次硬膜外注射吗啡 2mg。C组 :肌肉注射哌替啶 1mg/kg。结果 :A组镇痛效果优 ,并发症少 ,患者及护士满意度高。B组 :用药量少 ,镇痛效果优 ,并发症多 ,持续时间短 ,患者满意度低。C组 :镇痛效果良 ,反复肌注给药增加了患者的痛苦 ,增加了护士的工作量 ,降低了术后护理质量。结论 :A组为产后患者提供了新的安全持续的镇痛方法 ,提高了术后护理质量 ,加强了产褥期安全性 ,提高患者及护士的满意度。
OBJECTIVE: To compare the analgesic effect of cessation of postoperative caesarean section and the satisfaction of nurses in intravenous controlled analgesia (PCA) with epidural morphine injection and pethidine intramuscular injection. Methods: Sixty patients underwent emergency cesarean section under single epidural anesthesia, which were divided into A, B and C groups. Group A: PCA parameter setting, loading dose 2mL, locking time 15min, continuous dose 0 5mL / h. Group B: single epidural injection of morphine 2mg. Group C: intramuscular injection of pethidine 1mg / kg. Results: A group of excellent analgesic effect, fewer complications, patients and nurses satisfaction. Group B: low dosage, excellent analgesic effect, multiple complications, short duration, low patient satisfaction. Group C: good analgesic effect, repeated intramuscular administration increased the patient’s pain, increased the workload of nurses, reducing the quality of postoperative care. Conclusion: Group A provides a new safe and consistent analgesic method for postpartum patients, improves the quality of postoperative care, enhances the safety of puerperium, and improves the satisfaction of patients and nurses.