Analysis on the Effect of Patient-controlled Epidural Analgesia after Cesarean Section

Objective To evaluate the effect of patient-controlled epidural analgesia(PCEA)with fentanyl after Cesarean section.Methods 400 patients scheduled for Cesarean section in No.hospital and Maternal Child Care Service Centre of Zhang Jiakou from June to December of 2008 were enrolled in this study.The patients were randomly divided into PCEA group(200 cases)and control group(200 cases).Patients in the PCEA group received PCEA with fentanyl after Cesarean section.while for those in the control group,intramascular injected dolantin and promethazine in half of the dose were administrated six hours after surgery.The analgesia effect and the influence to the patients were observed.Result The post-operative analgesia effect and the breast feeding rate were significantly better in PCEA group than that of control group,and the difference was statistically significant(P0.05).However,there was no significant difference(P0.05) for the postpartum hemorrhage,but ther was no significant difference in recovery of uterus and bowel function between the two groups.Conclusion The result of the current study indicated that the post-operative PCEA with fentanyl after Cesarean section was effective,could promote the breast feeding rate,didn't increase the postpartum hemorrhage and therefore could help the postnatal recovery.