Comparative Effect of Patient Controlled Epidural Analgesia and Patient Controlled Intravenous Analgesia After Cesarean Section

Wang Rui; Chen Xiaoli; Yang Xiaoying; Chen Yuanyuan; Yang Anbo; Wang Xing

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Comparative Effect of Patient Controlled Epidural Analgesia and Patient Controlled Intravenous Analgesia After Cesarean Section

Wang Rui, Chen Xiaoli, Yang Xiaoying, Chen Yuanyuan, Yang Anbo, Wang Xing

Published in Asia-Pacific Journal of Medicine (Volume 2, Issue 4)

Received: 4 August 2019 Accepted: 4 December 2019 Published: 20 December 2019

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Abstract

Objective: Comparative analysis of analgesic effect and adverse reactions of patient controlled epidural analgesia and intravenous analgesia after cesarean section. Methods:Selection of 60 cases of cesarean section in our hospital from January 2017 to June 2018, Patient controlled analgesia was performed after operation.The patients were randomly divided into two groups: epidural patient-controlled analgesia group (group E) and intravenous patient-controlled analgesia group (group V). Comparison and analysis of pain visual analogue score Pain occurred at 0, 6, 12, 24 and 48 hours after operation in two groups.And adverse reactions (nausea and vomiting, abdominal distension, urinary retention, hypotension, dizziness, respiratory depression). Result: The analgesic effect of group E was slightly higher than that of group V at 0, 6 and 12 hours after operation (VAS score was 2.62±1.82 vs 3.16±1.42, 2.53±1.52 vs 3.35±1.72, 2.33±1.42 vs 3.36±1.22, P＞0.05), but there was no significant difference between the two groups. At 24 and 48 hours, the analgesic effect of the two groups was comparable (pain numerical scores were 2.63±1.21 vs 2.60±1.31, 2.30±1.22 vs 2.24±1.21, P＞0.05). Adverse reactions: The incidence of abdominal distension and urinary retention in group E was significantly higher than that in group V (20.0% vs 6.7%, P < 0.05; 23.3% vs 3.3%, P < 0.05). The incidence of postoperative nausea and vomiting, hypotension, dizziness and respiratory depression in group E was similar to that in group V (P > 0.05).Conclusion: Patient controlled epidural analgesia (PCEA) and intravenous analgesia (PCIA) after cesarean section were both effective, And there was no significant difference in the overall analgesic effect between the two groups. However, the adverse reactions such as abdominal distension and urinary retention in patient-controlled epidural analgesia were significantly higher than those in intravenous analgesia. Postoperative analgesia, nausea and vomiting, hypotension, dizziness and respiratory depression were similar. In clinic, different PCA methods can be selected according to the patient's condition.

Published in	Asia-Pacific Journal of Medicine (Volume 2, Issue 4)
Page(s)	40-44
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Cesarean Section, Patient Controlled Epidural Analgesia, Patient Controlled Intravenous Analgesia, Visual Analogue Score, Adverse Reactions

References

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APA Style

Wang Rui, Chen Xiaoli, Yang Xiaoying, Chen Yuanyuan, Yang Anbo, et al. (2019). Comparative Effect of Patient Controlled Epidural Analgesia and Patient Controlled Intravenous Analgesia After Cesarean Section. Asia-Pacific Journal of Medicine, 2(4), 40-44.

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ACS Style

Wang Rui; Chen Xiaoli; Yang Xiaoying; Chen Yuanyuan; Yang Anbo, et al. Comparative Effect of Patient Controlled Epidural Analgesia and Patient Controlled Intravenous Analgesia After Cesarean Section. Asia-Pac. J. Med. 2019, 2(4), 40-44.

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AMA Style

Wang Rui, Chen Xiaoli, Yang Xiaoying, Chen Yuanyuan, Yang Anbo, et al. Comparative Effect of Patient Controlled Epidural Analgesia and Patient Controlled Intravenous Analgesia After Cesarean Section. Asia-Pac J Med. 2019;2(4):40-44.

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@article{10041997,
  author = {Wang Rui and Chen Xiaoli and Yang Xiaoying and Chen Yuanyuan and Yang Anbo and Wang Xing},
  title = {Comparative Effect of Patient Controlled Epidural Analgesia and Patient Controlled Intravenous Analgesia After Cesarean Section},
  journal = {Asia-Pacific Journal of Medicine},
  volume = {2},
  number = {4},
  pages = {40-44},
  url = {https://www.sciencepublishinggroup.com/article/10041997},
  abstract = {Objective: Comparative analysis of analgesic effect and adverse reactions of patient controlled epidural analgesia and intravenous analgesia after cesarean section. Methods:Selection of 60 cases of cesarean section in our hospital from January 2017 to June 2018, Patient controlled analgesia was performed after operation.The patients were randomly divided into two groups: epidural patient-controlled analgesia group (group E) and intravenous patient-controlled analgesia group (group V). Comparison and analysis of pain visual analogue score Pain occurred at 0, 6, 12, 24 and 48 hours after operation in two groups.And adverse reactions (nausea and vomiting, abdominal distension, urinary retention, hypotension, dizziness, respiratory depression). Result: The analgesic effect of group E was slightly higher than that of group V at 0, 6 and 12 hours after operation (VAS score was 2.62±1.82 vs 3.16±1.42, 2.53±1.52 vs 3.35±1.72, 2.33±1.42 vs 3.36±1.22, P＞0.05), but there was no significant difference between the two groups. At 24 and 48 hours, the analgesic effect of the two groups was comparable (pain numerical scores were 2.63±1.21 vs 2.60±1.31, 2.30±1.22 vs 2.24±1.21, P＞0.05). Adverse reactions: The incidence of abdominal distension and urinary retention in group E was significantly higher than that in group V (20.0% vs 6.7%, P  0.05).Conclusion: Patient controlled epidural analgesia (PCEA) and intravenous analgesia (PCIA) after cesarean section were both effective, And there was no significant difference in the overall analgesic effect between the two groups. However, the adverse reactions such as abdominal distension and urinary retention in patient-controlled epidural analgesia were significantly higher than those in intravenous analgesia. Postoperative analgesia, nausea and vomiting, hypotension, dizziness and respiratory depression were similar. In clinic, different PCA methods can be selected according to the patient's condition.},
 year = {2019}
}

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TY  - JOUR
T1  - Comparative Effect of Patient Controlled Epidural Analgesia and Patient Controlled Intravenous Analgesia After Cesarean Section
AU  - Wang Rui
AU  - Chen Xiaoli
AU  - Yang Xiaoying
AU  - Chen Yuanyuan
AU  - Yang Anbo
AU  - Wang Xing
Y1  - 2019/12/20
PY  - 2019
T2  - Asia-Pacific Journal of Medicine
JF  - Asia-Pacific Journal of Medicine
JO  - Asia-Pacific Journal of Medicine
SP  - 40
EP  - 44
PB  - Science Publishing Group
UR  - http://www.sciencepg.com/article/10041997
AB  - Objective: Comparative analysis of analgesic effect and adverse reactions of patient controlled epidural analgesia and intravenous analgesia after cesarean section. Methods:Selection of 60 cases of cesarean section in our hospital from January 2017 to June 2018, Patient controlled analgesia was performed after operation.The patients were randomly divided into two groups: epidural patient-controlled analgesia group (group E) and intravenous patient-controlled analgesia group (group V). Comparison and analysis of pain visual analogue score Pain occurred at 0, 6, 12, 24 and 48 hours after operation in two groups.And adverse reactions (nausea and vomiting, abdominal distension, urinary retention, hypotension, dizziness, respiratory depression). Result: The analgesic effect of group E was slightly higher than that of group V at 0, 6 and 12 hours after operation (VAS score was 2.62±1.82 vs 3.16±1.42, 2.53±1.52 vs 3.35±1.72, 2.33±1.42 vs 3.36±1.22, P＞0.05), but there was no significant difference between the two groups. At 24 and 48 hours, the analgesic effect of the two groups was comparable (pain numerical scores were 2.63±1.21 vs 2.60±1.31, 2.30±1.22 vs 2.24±1.21, P＞0.05). Adverse reactions: The incidence of abdominal distension and urinary retention in group E was significantly higher than that in group V (20.0% vs 6.7%, P  0.05).Conclusion: Patient controlled epidural analgesia (PCEA) and intravenous analgesia (PCIA) after cesarean section were both effective, And there was no significant difference in the overall analgesic effect between the two groups. However, the adverse reactions such as abdominal distension and urinary retention in patient-controlled epidural analgesia were significantly higher than those in intravenous analgesia. Postoperative analgesia, nausea and vomiting, hypotension, dizziness and respiratory depression were similar. In clinic, different PCA methods can be selected according to the patient's condition.
VL  - 2
IS  - 4
ER  -

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Author Information

Wang Rui

Department of Gynecology and Obstetrics, Guangzhou University of Traditional Chinese Medicine Affiliated Beibei District Hospital, Chongqing, China
Chen Xiaoli

Department of Gynecology and Obstetrics, Guangzhou University of Traditional Chinese Medicine Affiliated Beibei District Hospital, Chongqing, China
Yang Xiaoying

Department of Gynecology and Obstetrics, Guangzhou University of Traditional Chinese Medicine Affiliated Beibei District Hospital, Chongqing, China
Chen Yuanyuan

Department of Gynecology and Obstetrics, Guangzhou University of Traditional Chinese Medicine Affiliated Beibei District Hospital, Chongqing, China
Yang Anbo

Department of Gynecology and Obstetrics, Guangzhou University of Traditional Chinese Medicine Affiliated Beibei District Hospital, Chongqing, China
Wang Xing

Guangzhou University of Traditional, Guangzhou University of Traditional Chinese Medicine Affiliated Beibei District Hospital, Chongqing, China

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Plain Text BibTeX RIS

APA Style

Wang Rui, Chen Xiaoli, Yang Xiaoying, Chen Yuanyuan, Yang Anbo, et al. (2019). Comparative Effect of Patient Controlled Epidural Analgesia and Patient Controlled Intravenous Analgesia After Cesarean Section. Asia-Pacific Journal of Medicine, 2(4), 40-44.

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ACS Style

Wang Rui; Chen Xiaoli; Yang Xiaoying; Chen Yuanyuan; Yang Anbo, et al. Comparative Effect of Patient Controlled Epidural Analgesia and Patient Controlled Intravenous Analgesia After Cesarean Section. Asia-Pac. J. Med. 2019, 2(4), 40-44.

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AMA Style

Wang Rui, Chen Xiaoli, Yang Xiaoying, Chen Yuanyuan, Yang Anbo, et al. Comparative Effect of Patient Controlled Epidural Analgesia and Patient Controlled Intravenous Analgesia After Cesarean Section. Asia-Pac J Med. 2019;2(4):40-44.

Copy | Download

@article{10041997,
  author = {Wang Rui and Chen Xiaoli and Yang Xiaoying and Chen Yuanyuan and Yang Anbo and Wang Xing},
  title = {Comparative Effect of Patient Controlled Epidural Analgesia and Patient Controlled Intravenous Analgesia After Cesarean Section},
  journal = {Asia-Pacific Journal of Medicine},
  volume = {2},
  number = {4},
  pages = {40-44},
  url = {https://www.sciencepublishinggroup.com/article/10041997},
  abstract = {Objective: Comparative analysis of analgesic effect and adverse reactions of patient controlled epidural analgesia and intravenous analgesia after cesarean section. Methods:Selection of 60 cases of cesarean section in our hospital from January 2017 to June 2018, Patient controlled analgesia was performed after operation.The patients were randomly divided into two groups: epidural patient-controlled analgesia group (group E) and intravenous patient-controlled analgesia group (group V). Comparison and analysis of pain visual analogue score Pain occurred at 0, 6, 12, 24 and 48 hours after operation in two groups.And adverse reactions (nausea and vomiting, abdominal distension, urinary retention, hypotension, dizziness, respiratory depression). Result: The analgesic effect of group E was slightly higher than that of group V at 0, 6 and 12 hours after operation (VAS score was 2.62±1.82 vs 3.16±1.42, 2.53±1.52 vs 3.35±1.72, 2.33±1.42 vs 3.36±1.22, P＞0.05), but there was no significant difference between the two groups. At 24 and 48 hours, the analgesic effect of the two groups was comparable (pain numerical scores were 2.63±1.21 vs 2.60±1.31, 2.30±1.22 vs 2.24±1.21, P＞0.05). Adverse reactions: The incidence of abdominal distension and urinary retention in group E was significantly higher than that in group V (20.0% vs 6.7%, P  0.05).Conclusion: Patient controlled epidural analgesia (PCEA) and intravenous analgesia (PCIA) after cesarean section were both effective, And there was no significant difference in the overall analgesic effect between the two groups. However, the adverse reactions such as abdominal distension and urinary retention in patient-controlled epidural analgesia were significantly higher than those in intravenous analgesia. Postoperative analgesia, nausea and vomiting, hypotension, dizziness and respiratory depression were similar. In clinic, different PCA methods can be selected according to the patient's condition.},
 year = {2019}
}

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TY  - JOUR
T1  - Comparative Effect of Patient Controlled Epidural Analgesia and Patient Controlled Intravenous Analgesia After Cesarean Section
AU  - Wang Rui
AU  - Chen Xiaoli
AU  - Yang Xiaoying
AU  - Chen Yuanyuan
AU  - Yang Anbo
AU  - Wang Xing
Y1  - 2019/12/20
PY  - 2019
T2  - Asia-Pacific Journal of Medicine
JF  - Asia-Pacific Journal of Medicine
JO  - Asia-Pacific Journal of Medicine
SP  - 40
EP  - 44
PB  - Science Publishing Group
UR  - http://www.sciencepg.com/article/10041997
AB  - Objective: Comparative analysis of analgesic effect and adverse reactions of patient controlled epidural analgesia and intravenous analgesia after cesarean section. Methods:Selection of 60 cases of cesarean section in our hospital from January 2017 to June 2018, Patient controlled analgesia was performed after operation.The patients were randomly divided into two groups: epidural patient-controlled analgesia group (group E) and intravenous patient-controlled analgesia group (group V). Comparison and analysis of pain visual analogue score Pain occurred at 0, 6, 12, 24 and 48 hours after operation in two groups.And adverse reactions (nausea and vomiting, abdominal distension, urinary retention, hypotension, dizziness, respiratory depression). Result: The analgesic effect of group E was slightly higher than that of group V at 0, 6 and 12 hours after operation (VAS score was 2.62±1.82 vs 3.16±1.42, 2.53±1.52 vs 3.35±1.72, 2.33±1.42 vs 3.36±1.22, P＞0.05), but there was no significant difference between the two groups. At 24 and 48 hours, the analgesic effect of the two groups was comparable (pain numerical scores were 2.63±1.21 vs 2.60±1.31, 2.30±1.22 vs 2.24±1.21, P＞0.05). Adverse reactions: The incidence of abdominal distension and urinary retention in group E was significantly higher than that in group V (20.0% vs 6.7%, P  0.05).Conclusion: Patient controlled epidural analgesia (PCEA) and intravenous analgesia (PCIA) after cesarean section were both effective, And there was no significant difference in the overall analgesic effect between the two groups. However, the adverse reactions such as abdominal distension and urinary retention in patient-controlled epidural analgesia were significantly higher than those in intravenous analgesia. Postoperative analgesia, nausea and vomiting, hypotension, dizziness and respiratory depression were similar. In clinic, different PCA methods can be selected according to the patient's condition.
VL  - 2
IS  - 4
ER  -

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