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目的本文对孕35～41周选择性剖宫产280例无疾患的孕妇进行自控镇痛对剖宫产术后的影响进行研究。方法所有病例随机分为2组,其中研究组160例,应用硬膜外自控镇痛(PCEA);对照组120例应用其它止痛方法。观察其镇痛效果、阴道出血及子宫复旧、尿潴留、肛门排气及母乳喂养情况。结果PCEA对剖宫产术的镇痛效果非常显著,术后病人能安静入睡,并能较早下床活动、早开奶,促进乳汁分泌,有益于母乳喂养,而术后肛门排气、子宫复旧及阴道出血情况差异无显著性,尿潴留差异也无显著性。结论PCEA镇痛效果好,改善了产妇剖宫术后生活质量,并能促进母乳喂养,值得临床推广。
OBJECTIVE: To study the effect of postoperative analgesia on 280 postmenopausal pregnant women with selective cesarean section during 35-41 weeks of gestation. Methods All cases were randomly divided into two groups, of which 160 cases in the study group were given epidural analgesia (PCEA) and 120 cases in the control group were given other analgesic methods. Observe the analgesic effect, vaginal bleeding and uterine involution, urinary retention, anal exhaust and breastfeeding. Results PCEA analgesic effect of cesarean section is very significant, postoperative patients can sleep quietly, and early bed activities, early Kai milk, promote milk secretion, beneficial to breastfeeding, and postoperative anal exhaust, the uterus There was no significant difference between the old and vaginal bleeding, and there was no significant difference in urinary retention. Conclusion PCEA analgesic effect is good, improve the quality of life after cesarean section, and can promote breastfeeding, worthy of clinical promotion.