【摘要】 目的探讨重度妊高征孕妇宫剖产术后采用硬膜外自控镇痛(PECA)的临床疗效。方法选择1998年2月至2003年12月实施剖宫产术的重度妊高征孕妇65例,其中35例术后采用PECA为研究组,30例未采用者为对照组。分析2组患者术后48h内平均动脉压(MPA)和心率变化、PDS评分、产后并发症及产后出血的发生率。结果研究组术后6h、12h、24h和48h的MPA和心率均较对照组有显著性差异(P<0.05);研究组术后48h的镇痛有效率较对照组有显著性差异(P<00.05);产后并发症的发生率研究组较对照组差异有显著性(P<0.05);产后出血的发生率2组差异无显著性(P<0.05)。结论重度妊高征孕妇剖宫产术后采用PECA有明确的镇痛镇静作用,能有效控制血压变化,降低产后并发症的发生,有益于围术期安全。更多还原

【Abstract】 Objective To study the effect of PECA on post-cesarean women with severe pregnancy induced hypertension. Methods 65 cases of post-cesarean women with severe pregnancy induced hypertension were studied by retrospective analysis 35 cases were given the PECA for 48 hours after operation, and the other 30 cases without PECA as controls. To compare the change of MPA and HR, the rate of effecte on pain control, the rate of postpartum complications during the 48h after cesarean section between the two groups. Results There was a significant differnce in PMA and HR at 6h、12h、24h and 48h post-opreation btween the two groups(P<0.05). Significant difference was also found in the rate of effect on pain control and the rate of postpartum complications between the two groups (P<0.05). There was no difference in rate of postpartum bleeding between the two groups. Conclusion It’s suggest that PECA in post-cesarean women with severe pregnancy induced hypertension play roles in retaining stable blood pressure and heart rate, controlling post-operation pain and preventing the occurance of severe postpartum complication. It’s benefit to the recovery and safety of those post-cesarean women with severe pregnancy induced hypertension.更多还原