摘要
目的:观察硬膜外注射地塞米松对剖宫产患者术后腰痛的影响。方法200例剖宫产患者随机分为治疗组跟对照组,治疗组在剖宫产结束时硬膜外注射地塞米松5mg,对照组行生理盐水2ml注射,两组患者都留置硬膜外导管连续硬膜外镇痛。记录术后48h、5d、4w时腰痛发生率及术后24、48h对连续硬膜外镇痛硬膜外留置管的耐受程度。结果 A组术后48h、5d、4w时腰痛发生率低于B组(P<0.01),A组在术后24h、48h对连续硬膜外镇痛硬膜外留置管的耐受程度均高于 B组(P<0.01)。结论剖宫产患者术后硬膜外注射地塞米松可以减少剖宫产术后腰痛的发生,还可以增加对连续硬膜外镇痛硬膜外留置管的耐受程度。
Objective To observe the epidural injection of dexamethasone postoperative back pain in patients with cesarean section.Method 200 cesarean patients were randomly divided into treatment group and control group,treatment group at the end of the cesarean delivery epidural injection of dexamethasone 5 mg,the control line 2 ml injected physiological saline,two groups of patients with indwel ing epidural catheter continuous epidural analgesia.Records in 48 h,5d,4 weeks when incidence of low back pain and postoperative 24 h,48h of continuous epidural tube indwel ing epidural analgesia tolerance level.Result Group A in 48h,5d,4 weeks when the lower incidence of low back pain than group B(P<0.01),A group of 24 h,48 h after surgery of continuous epidural tube indwel ing epidural analgesia tolerance levels were higher than in group B(P<0.01).Conclusion Cesarean section patients with postoperative epidural injection of dexamethasone can reduce the incidence of low back pain after cesarean section,also can increase of continuous epidural tube indwel ing epidural analgesia tolerance level.
作者
何文革
HE Wen-ge(Foshan City Shunde District Longjiang Hospital,Department of Anesthesiology,Foshan Guangdong,528318,China)
关键词
硬膜外
地塞米松
剖宫产
腰痛
Epidural
Dexamethasone
Cesarean section
Low back pain
