地佐辛用于剖宫产术后静脉镇痛300例临床效果评价

目的：观察地佐辛用于剖宫产术后静脉镇痛的疗效。方法：将我院行剖宫产的正常足月产妇300例随机分成A、B两组。分别给予芬太尼＋托烷司琼和芬太尼＋托烷司琼＋地佐辛进行术后静脉镇痛，比较两组的镇痛效果，分别记录静息／咳嗽出室时、术后6h、12h、24h的VSA评分并进行比较，采用Bromage评分评价患者运动阻滞恢复情况，同时记录患者术后肛门排气时间以及不良反应等。结果：A组产妇出室时、术后6h、12h、24h小时静息VSA评分均高于B组，（P〈0．01）；咳嗽时各点VSA评分A组高于B组，（P〈0．05），差异有统计学意义；A组产妇术后恢复至Bromage0级平均用时（5．9±2．4）h，B组恢复至Bromage0级平均用时（5．1±2．1）h，（P〈0．01），差异有统计学意义；A组产妇术后出现头晕嗜睡、尿潴留、恶心呕吐等不良反应明显高于B垂凡fP〈001）薯异有鲚．计晕啬义．缟诊．抽．杜辛用干产科采詹镳痛诗粟士手术詹蕺去惦宣时闻特日东露后府掂小

A Survey of Effect of Dezocine for Obstetric of Postoperative Analgesia 300 Cases

Objective： To observe the efficacy of Dezocine on the treatment of intravenous analgesia after cesarean sectiorL Methods： 300 case normal term maternal in our hospital cesarean section were randomly divided into groups A and B, were given Fentanyl＋ Tropisetron and Fen- tanyl＋Tropisetron＋Dezocine postoperative analgesia. Analgesic effect were compared and recorded at rest / cough out of room, and VSA score after 6h, 12h, 24h were compared, the Bromage scale of patients with motor block were evaluated, and pa- tients with anal exhaust time and adverse were recorded. Results： When puerperae in A group were out of room and had rest after 6h, 12h, 24h hours, VSA scores were higher than that in group B（P〈0.01）, cough VSA in A group is still higher than that in group B（P〈0.05）, the difference was statistically significant; the average time of Group A maternal postoperative for restoring to Bromage 0 level is （5.9 ＋ 2.4） h, that of Group B is （5.1 ＋ 2.1） h, P〈0.01, the difference was statistically significant; The maternal postoperative dizziness, drowsi- ness, urinary retention, nausea, vomiting and other adverse reactions in group A was significantly higher than those in group B, P〈0.01. The difference was statistically significant. Conclusion： Dezocine for obstetric postoperative analgesia and analgesic effect, postoperative recovery time is short, and adverse reactions is few.