目的探索剖宫产术后应用硬膜外镇痛(PCEA)对产妇的影响。方法选自住院剖宫产的产妇760例,均在连续硬膜外阻滞麻醉下行剖宫产。随机分为两组,观察组490例术后从硬膜外管接通装有镇痛液(内含0.75%布比卡因4支150mg,吗啡2mg或芬太尼0.3mg,生理盐水100ml)的一次性PCEA泵,术后持续给药2天。对照组270例术后即拔除硬膜外导管,在患者疼痛时注射哌替啶75mg镇痛,观察两组术后情况。结果观察组镇痛效果明显优于对照组(P<0.01),术后应用PCEA能促使产妇早期活动,早期开乳,明显提高母乳喂养率,减少产后出血量,不增加不良反应发生率。结论剖宫产术后行PCEA镇痛效果确切、缓解焦虑、改善睡眠,起效快、镇痛时间长,促进哺乳,减少产后出血发生率,安全性大,副作用少,产妇轻松、舒适,值得临床推广应用。 Objective To explore the effect of epidural analgesia (PCEA) on mothers after cesarean section. METHODS: One hundred and seventy-six maternal mothers undergoing caesarean section were randomly divided into cesarean section under continuous epidural anesthesia. Randomly divided into two groups, the observation group of 490 patients after the epidural tube connected with analgesics (containing 0.75% bupivacaine 4 150mg, morphine 2mg or fentanyl 0.3mg, saline 100ml) Of disposable PCEA pump, continued for 2 days postoperatively. The control group of 270 patients were removed after the epidural catheter, the patient was injected with pethidine 75mg analgesic pain, the two groups were observed after surgery. Results The analgesic effect of the observation group was significantly better than that of the control group (P <0.01). After the application of PCEA, maternal early activities, early milk opening were significantly improved, the rate of breastfeeding was significantly increased, the amount of postpartum hemorrhage was decreased, and the incidence of adverse reactions was not increased. Conclusion PCEA analgesic effect after cesarean section is exact, relieve anxiety, improve sleep, fast onset, long analgesic, promote lactation, reduce the incidence of postpartum hemorrhage, safety, less side effects, maternal relaxed and comfortable, worthwhile Clinical application.