摘要
目的:分析右美托咪定联合芬太尼静脉自控镇痛对剖宫产术后的镇痛效果及短期睡眠质量的影响。方法:选取2021年1月至2023年6月福建中医药大学附属晋江市中医院收治的进行剖宫产术的初产妇80例作为研究对象,按照随机数字表法分为观察组和对照组,每组40例。观察组于产科医生准备缝皮时,采用右美托咪定联合芬太尼进行静脉自控镇痛,对照组于产科医生准备缝皮时,采用芬太尼进行静脉自控镇痛。采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,采用视觉模拟评分法(VAS)比较2组患者干预后12、24、48 h疼痛评分的变化,记录2组术后48 h内不良反应的发生情况。结果:术后12、24、48 h观察组术后疼痛VAS评分、PSQI评分均显著低于对照组,48 h内不良反应发生率显著低于对照组,差异均有统计学意义(均P<0.05)。结论:产妇进行剖宫产手术后,使用右美托咪定联合芬太尼进行静脉自控镇痛可以显著改善患者的睡眠质量,减轻患者疼痛感受,值得临床推广使用。
Objective:To analyze the analgesic effect and short-term sleep quality of dexmedetomidine combined with fentanyl for patient-controlled intravenous analgesia after cesarean section.Methods:A total of 80 primiparous women who underwent cesarean section and were admitted to Jinjiang Traditional Chinese Medicine Hospital Affiliated to Fujian University of Chinese Medicine from January 2021 to June 2023 were selected as the study subjects.They were randomly divided into an observation group(n=40)and a control group(n=40)using a random number table method.The observation group received patient-controlled intravenous analgesia using dexmedetomidine combined with fentanyl when the obstetricians were preparing to sew the skin,while the control group received patient-controlled intravenous analgesia using fentanyl when the obstetricians were preparing to sew the skin.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality between two groups of patients before and after intervention,and the Visual Analog Scale(VAS)was used to compare the changes in pain scores between the two groups at 12,24,and 48 hours after intervention.The incidence of adverse reactions within 48 hours after surgery was recorded in both groups.Results:The VAS score and PSQI score of postoperative pain in the observation group were significantly lower than those in the control group at 12,24,and 48 hours after surgery,and the incidence of adverse reactions within 48 hours was significantly lower than that in the control group.The difference between the two groups was statistically significant(P s<0.05).Conclusion:After cesarean section,the use of dexmedetomidine combined with fentanyl for intravenous patient-controlled analgesia can significantly improve the patient′s sleep quality and alleviate pain sensation,which is worthy of clinical promotion and use.
作者
钟永灿
ZHONG Yongcan(Jinjiang Traditional Chinese Medicine Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Jinjiang 362200,China)
出处
《世界睡眠医学杂志》
2023年第10期2335-2337,共3页
World Journal of Sleep Medicine
关键词
剖宫产
右美托咪定
术后镇痛
睡眠质量
Cesarean section
Dexmedetomidine
Postoperative analgesia
Sleep quality
