智能化患者自控镇痛对剖宫产产妇术后康复的影响

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Abstract Objective To study the effect of intelligent self-controlled analgesia on the postoperative rehabilitation of women undergoing caesarean section.Methods A total of 120 women who underwent post-cesarean analgesia in Jiujiang Maternal and Child Health Hospital from January to May 2021 were selected as the research objects.They were divided into I group and P group according to random number table method,with 60 cases in each group.Group I received intelligent management combined with intelligent patient-controlled analgesia (IMPA-Ai-PCA),and group P received conventional patient-controlled analgesia (PCA).The visual analogue scale (VAS) scores at 6,12,24 and 48 hours after the operation,adverse reactions,puerpera satisfaction,postoperative walking time and exhaust time were compared between the two groups.Results The highest level of pain occurred 12 h after operation,the VAS score of the two groups at 12 h after operation was higher than that at 6,24 and 48 h after operation,and the differences were statistically significant (P＜0.05).The VAS score of group I at 24 and 48 h after operation was lower than that of group P,and the difference was statistically significant (P＜0.05).The total incidence of adverse reactions in group I was lower than that in group P,and the difference was statistically significant (P＜0.05).The satisfaction score of group I was higher than that of group P,and the difference was statistically significant (P＜0.05).The walking time and exhaust time of parturients in group I were earlier than those in group P,and the differences were statistically significant (P＜0.05).Conclusion The implementation of IMPA-Ai-PCA program in postoperative analgesia of cesarean section can achieve good analgesic effect,with less adverse reactions,high satisfaction rate of puerpera,promote the ambulation and exhaust after labor,and promote the rapid recovery after cesarean section.

Key words： Cesarean section Intelligence patient-controlled analgesia Maternal Enhanced recovery after surgery

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