刘可

[摘要] 目的 研究分析硬膜外自控镇痛对子宫全切术患者并发症及胃肠功能的影响。 方法 选取2011年9月~2013年8月于本院进行子宫全切术治疗的90例患者为研究对象，将其随机分为对照组（哌替啶肌内注射组）45例和观察组（硬膜外自控镇痛组）45例，比较两组患者的并发症发生率及胃肠功能指标。 结果 观察组中开腹手术及腹腔镜手术患者的并发症发生率均低于对照组，胃肠功能恢复好于对照组，差异有统计学意义（P＜0.05）。 结论 硬膜外自控镇痛对子宫全切术患者并发症及胃肠功能的影响好于哌替啶肌内注射，更有利于患者的术后康复。

[关键词] 硬膜外自控镇痛；子宫全切术；并发症；胃肠功能

[中图分类号] R713.4[文献标识码] A[文章编号] 1674-4721（2014）03（c）-0048-03

Study on the influence of patient-controlled epidural analgesia for the complications and gastrointestinal function of patients with total hysterectomy

LIU Ke

Department of Gynecology and Obstetrics,the Hydroelectricity Hospital of Guangdong Province,Guangzhou 511340,China

[Abstract] Objective To study and analyze the influence of patient-controlled epidural analgesia for the complications and gastrointestinal function of patients with total hysterectomy.Methods 90 cases of patients with total hysterectomy in our hospital from September 2011 to August 2013 were selected as research object,and were randomly divided into control group (pethidine by intramuscular injection group,45 cases) and observation group (patient-controlled epidural analgesia group,45 cases),then the complications rate and gastrointestinal function indexes of two groups was compared.Results The complications rate of observation group with open operation and laparoscopic operation were all lower than those of control group,gastrointestinal function indexes were better than those of control group,the difference was significant (P＜0.05).Conclusion The influence of patient-controlled epidural analgesia for the complications and gastrointestinal function of patients with total hysterectomy is better than those of pethidine by intramuscular injection,and it is more helpful for the postoperative rehabilitation of patients.

[Key words] Patient-controlled epidural analgesia;Total hysterectomy;Complication;Gastrointestinal function

子宫全切术是治疗较多子宫疾病的根治性手术，患者围术期的监测指标较多，其中术后并发症的控制是保证患者尽早康复的重要前提，而胃肠功能尽快改善则是保证患者术后营养支持的重要前提[1]，对患者术后康复效果和康复速度有较大的影响，故认为对患者术后并发症的控制和胃肠功能恢复的促进均是临床需重点干预的方面[2]。本文就硬膜外自控镇痛对子宫全切术患者并发症及胃肠功能的影响进行观察，以了解硬膜外自控镇痛对患者的影响。

1 资料与方法

1.1 一般资料

选取2011年9月~2013年8月于本院进行子宫全切术治疗的90例患者为研究对象，将其随机分为对照组（哌替啶肌内注射组）45例和观察组（硬膜外自控镇痛组）45例。……