目的 探讨智能化自控镇痛在剖宫产术后镇痛中的应用价值。方法 选取2019年6月—2020年6月在九江市妇幼保健院进行剖宫产术后镇痛的100 例患者作为研究对象，采用随机数字表法分为观察组和对照组，每组各50 例。对照组患者采用常规传统病人自控镇痛（PCA）方案，观察组患者采用智能化管理模式（IMPA）+智能化病人自控镇痛（Ai-PCA）方案。比较两组患者的不同时点视觉模拟评分法（VAS）评分、剖宫产术后24 h 内镇痛泵药液消耗量、随访期间不良反应总发生率。结果 两组剖宫产术后1、2、3 d 时的VAS 评分均低于本组术后6 h，术后2、3 d 时的VAS 评分均低于本组术后1 d，术后3 d 时的VAS 评分均低于本组术后2 d，多组间比较，差异有统计学意义（P＜0.05）；且术后1、2、3 d 时观察组患者的VAS 评分均低于对照组，差异有统计学意义（P＜0.05）；观察组剖宫产术后24 h 内镇痛泵药液消耗量少于对照组，差异有统计学意义（P＜0.05）；观察组不良反应总发生率低于对照组，差异有统计学意义（P＜0.05）。结论 在剖宫产术后镇痛中实施智能化自控镇痛方案，可有效缓解患者的疼痛程度，减少镇痛泵药液消耗量，降低不良反应总发生率。
Abstract：Objective To explore the application value of intelligent self-controlled analgesia in post-cesarean section analgesia.Methods A total of 100 patients who underwent post-cesarean analgesia in Jiujiang Maternity and Child Health Hospital from June 2019 to June 2020 were selected as the research objects.They were divided into observation group and control group according to random number table method,with 50 cases in each groups.Patients in the control group used conventional traditional patient-controlled analgesia(PCA),and patients in the observation group used intelligent management postoperative model(IMPA)+ artificial intelligence patient controlled analgesia(Ai-PCA).The visual analogue scale(VAS)scores at different time points of patients of the two groups,the consumption of analgesic pump solution within 24 hours after cesarean section,and the incidence of adverse reactions during follow-up were compared between the two groups.Results The VAS scores of two groups at 1,2,3 days after cesarean section was lower than that at 6 hours after cesarean section in the group,the VAS scores of two groups at 2,3 days after cesarean section was lower than that at 1 day after cesarean section in the group,the VAS scores of two groups at 3 days after cesarean section was lower than that at 2 days after cesarean section in the group,compared among the groups,with statistically significant differences(P＜0.05).The VAS scores of the observation group at 1,2,3 days after cesarean section were lower than those of the control group,and the differences were statistically significant(P＜0.05).The consumption of analgesic pump medicine in the observation group within 24 hours after cesarean section was less than that of the control group,the difference was statistically significant(P＜0.05).During the follow-up period,the incidence of adverse reactions in the observation group was lower than that of the control group,and the difference was statistically significant(P＜0.05).Conclusion The implementation of intelligent self-controlled analgesia in post-cesarean section analgesia can effectively relieve the pain of patients,reduce the consumption of analgesic pump liquid,and reduce the incidence of adverse reactions.
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