首页|曼彻斯特疼痛管理对妊娠期高血压产妇剖宫产术后疼痛和恢复的影响

曼彻斯特疼痛管理对妊娠期高血压产妇剖宫产术后疼痛和恢复的影响

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目的 探讨曼彻斯特疼痛管理对妊娠期高血压产妇剖宫产术后疼痛和恢复的影响.方法 选取2022年4月至2023年5月中国医科大学附属盛京医院产科收治的134例合并妊娠期高血压产妇.随机法分为对照组(C组)和曼彻斯特疼痛管理模式组(MPMM组).比较2组产妇手术当天(d0)、术后1 d(d1)、3 d(d3)疼痛次数,疼痛(VAS)、焦虑(SAS)、抑郁(SDS)、睡眠质量(PSQI)评分,晨起收缩压(SP)、舒张压(DP)、平均动脉压(MAP)、首次下床时间和住院时间.结果 MPMM组产妇d0、d1疼痛评分和疼痛次数均低于C组(P<0.05),d1和d3 SAS和PSQI评分均低于C组(P<0.05),d0、d1和d3 SDS评分均低于C组(P<0.05).MPMM组产妇d0、d1和d3,SP均低于C组;d1和d3 DP和MAP均低于C组,首次下床活动时间及住院时间均短于C组,差异有统计学意义(P<0.05).结论 MPMM能够缓解妊娠期高血压产妇术后疼痛、降低焦虑和抑郁发生率、改善睡眠质量并促进早期恢复.
Effect of Manchester pain management on pain and recovery after cesarean section in pregnant women with gestational hypertension
Objective To explore the effects of Manchester pain management on postoperative pain and recovery in pregnant women with gestational hypertension.Methods In total,134 pregnant women with gestational hypertension admitted to the Obstetrics Department of Shengjing Hospital between April 2022 and May 2023 were selected.The patients were randomly divided into a control group(group C)and a Manchester group(MPMM group).Pain frequency,pain(VAS),anxiety(SAS),depression(SDS),and sleep quality(PSQI)scores,as well as morning systolic blood pressure(SP),diastolic blood pressure(DP),mean arterial pressure(MAP),first time out of bed,and hospitalization time were recorded and compared between the two groups on days 0,1,and 3 after surgery.Results The pain score and frequency of pain in the MPMM group were lower than those in the C group on days 0 and 1 after surgery(P<0.05);the SAS and PSQI scores were lower in the C group on days 1 and 3 after surgery(P<0.05);and the SDS scores on days 0,1,and 3 after surgery were lower than those in the C group(P<0.05).On days 0,1,and 3 after surgery,the SP in the MPMM group was lower than that in the C group;the DP and MAP were lower than those in the C group on days 1 and 3 after surgery,and the first time of getting out of bed and hospitalization time were significantly shorter than those in group C(P<0.05).Conclusion The MPMM alleviates postoperative pain,reduces anxiety and depression,improves sleep quality,and promotes early recovery in pregnant women with gestational hypertension.

Manchester pain managementgestational hypertensioncesarean sectionpostoperative painpostoperative recovery

张帆、张宝、万玉骁、张晓怡

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中国医科大学附属盛京医院 手术室,沈阳 110004

中国医科大学附属盛京医院 产科,沈阳 110004

中国医科大学附属盛京医院 麻醉科,沈阳 110004

曼彻斯特疼痛管理 妊娠期高血压 剖宫产 术后疼痛 术后恢复

辽宁省科学技术计划

2023JH2/20200027

2024

中国医科大学学报
中国医科大学

中国医科大学学报

CSTPCD北大核心
影响因子:1.421
ISSN:0258-4646
年,卷(期):2024.53(7)
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