国际麻醉学与复苏杂志   2010, Issue (2): 123-125
    
脐疗对剖宫产术后镇痛及产妇恢复的效果观察
宋杰 孙明丽 李运智1()
1.252601,泰山医学院附属医院、山东聊城第二人民医院麻醉科
Effect observation of treatment with traditional Chinese medicine to relief pain after cesarean section and lying-in mother recovery
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摘要:

目的 观察剖宫产术后中药脐疗镇痛效果及对产妇功能恢复的影响。方法 将我院2006年2月~2007年12月在硬膜外麻醉下行剖宫产的足月初产妇200例,术毕按手术顺序随机等分两组:实验组100例,术后采用中药脐疗镇痛;对照组100例,术后采用硬膜外自控镇痛。观察二组镇痛效果及产妇功能恢复情况。结果 实验组术后12h、24h、48h VAS 评分与对照组比较无明显差异(P>0.05);实验组24h、48h宫底高度分别为(-0.78±0.38)cm、(-1.37±0.41)cm,对照组24h、48h宫底高度分别为(-1.15±0.22)cm、(-1.80±0.62)cm,差异有统计学意义;12h副作用方面比较差异有有统计学意义(P<0.01;P<0.05),两组患者术后72h出血量实验组为(151.96±32.33)ml、对照组为(194.94±44.095) ml,差异有统计学意义(P<0.01);开始床上活动时间实验组和对照组分别为(10.3±3.6)h、(15.6±2.1)h;下床活动时间实验组和对照组分别为(22.7±4.4)h、(31.4±4.0)h;肛门排气时间实验组和对照组分别为(26.1±3.8)h、(47.8±7.2)h,两组比较差异有统计学意义(P<0.01),自主排尿时间差异无统计学意义(P>0.05)。结论 剖宫产术后使用中药敷脐与采用PCEA镇痛相比较,可取得同样满意的镇痛效果,而中药敷脐可使产妇提早起床活动,有利于减少产后出血,促进胃肠功能恢复,值得推广应用。

关键词: 中药;脐疗;镇痛;功能恢复;术后;剖宫产
Abstract:

objective To observe the effect of treatment with traditional Chinese medicine to relief pain after cesarean section and recovery of lying-in mother. Method 200 cases of full term primipara with epidural anesthesia were divided into two groups randomly after operation. 100 cases in experiment group were relieved pain by overjuting traditional Chinese medicine on omphalus. 100 cases in experimental group relieved pain by epidural control. VAS score and functional recovery of mother were observed after operation. Result VAS score of cases in experiment group have no significant difference compared to the controls for 12h、24h、48h postop. The change of fundus height in experiment group at 24h and 48h were (-0.78±0.38)cm、(-1.37±0.41)cm; those in control group at 24h and 48h were (-1.15±0.22)cm、(-1.80±0.62)cm,there were significant differences between the two groups, and the same to the adverse effect at 12hours(P<0.01,P<0.05).The hemorrhage quantity in experimental group was (151.96±32.33)ml and that in control group was (194.94±44.095)ml, there was significant different between the two groups; The starting time of bed activities in experimental group was (10.3±3.6)h and that in control group was(15.6±2.1)h; The time of out-of-bed activities in experimental group was (22.7±4.4)h and that in control group was(31.4±4.0)h; The passage of gas by anus time in experimental group was (26.1±3.8)h and that in control group was(47.8±7.2)h, there were significant differences between the two groups(P<0.01). Automatic micturition time had no obviously difference between the two groups(P>0.05).Conclusion Overjuting traditionalChinese medicine on omphaluscangetthe same analgesic effectasPCEA and improve the maternal recovery from cesarean section.

Key words: Traditional Chinese medicine; Overjuting drugs on omphalus; Relief pain; Recovery of function; Postoperative period; Cesarean