目的探讨妇产科手术患者行硬膜外自控镇痛（ PCEA）后并发症的发生情况及镇痛、镇静效果。方法将安吉县妇幼保健院2010年2月至2011年2月收治的100例妇产科手术患者随机分为干预组和对照组，干预组行硬膜外自控镇痛（PCEA），对照组采取自控静脉镇痛（PCIA），观察并比较两组镇痛、镇静效果及并发症发生情况。结果干预组头晕、腹胀、低血压、恶心、呼吸抑制、腰痛、神经系统功能障碍及神经根刺激症等并发症的发生率均明显低于对照组（χ2值分别为9．01、6．02、8．05、6．08、9．00、5．05、9．08、8．00，均P＜0．05）；且术后24h患者疼痛评分及镇静评分均明显低于对照组，两组比较差异均具有统计学意义（t值分别为7．08、8．09，均P＜0．05）。结论对妇产科手术患者行硬膜外自控镇痛效果显著，可明显减少患者术后并发症的发生，值得临床进一步推广和应用。%Objective To explore the occurrence of complications and the analgesic and sedative effect of gynecologic surgery patients after patient controlled epidural analgesia (PCEA).Methods One hundred cases with obstetrics and gynecology operation were chosen in Anji Maternal and Child Health Hospital from February 2010 to February 2011, and they were randomly divided into control and intervention group .The control group was given patient controlled intravenous analgesia ( PCIA ) , and the intervention group underwent PCEA.The analgesic and sedative effects and the occurrence of complications were compared between two groups .Results The occurrence of dizziness, abdominal distension, hypotension, nausea, respiratory depression, backpain, nervous dysfunction and nerve root irritation in the intervention group was significantly lower than the control group (χ2 value was 9.01, 6.02, 8.05, 6.08, 9.00, 5.05, 9.08 and 8.00, respectively, all P<0.05).The patient pain score and sedation scores 24h after operation were significantly lower than the control group, and the differences were statistically significant (t value was 7.08 and 8.09, respectively, both P<0.05).Conclusion PCEA for patients undergoing gynecologic surgery is very effective , and it can reduce the incidence of postoperative complications significantly.It is worthy of further promotion and clinical application .
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