摘要 目的：观察与比较不同镇痛方式对剖宫产术后疼痛程度与睡眠状态的影响。方法：选取2017年10月至2018年10月四川省攀枝花市仁和区人民医院收治的剖宫产产妇96例，随机分为对照组和观察组，每组48例。对照组进行肌内注射镇痛，观察组进行硬膜外自控镇痛。比较2组术后不同时间的疼痛评分、疼痛递质表达水平及干预前后的睡眠质量评分。结果：观察组术后12 h及24 h的疼痛评分及疼痛递质表达水平均低于对照组，干预后的睡眠质量评分优于对照组，2组比较差异有统计学意义(P<0.05)。结论：硬膜外自控镇痛对剖宫产术后疼痛程度与睡眠状态的影响显著优于肌内注射镇痛，对产妇具有较高的应用价值。

    关键词 肌内注射镇痛；硬膜外自控镇痛；剖宫产；术后疼痛程度；睡眠状态

    Abstract Objective：To observe and compare the influence of different analgesic mode for the postoperative pain degree and sleep state of delivery women with cesarean section.Methods：A total of 96 delivery women with cesarean section from October 2017 to October 2018 were divided into control group 48 cases and observation group 48 cases according to the principle of random distribution.The control group were with analgesia by intramuscular injection ......