腹部手术后硬膜外自控镇痛法的观察  

Observation of Patient Control Epidural Analgesia(PCEA) after Operation on Abdominal Region

作　　者：刘丽霞[1] 

机构地区：[1]菏泽医学专科学校附属菏泽市立医院,山东菏泽274000

出　　处：《菏泽医学专科学校学报》2005年第3期55-56,共2页Journal of Heze Medical College

摘　　要：目的了解腹部手术后应用自控镇痛法的疗效及副作用的发生情况。方法将100例患者随机分成两组,每组各50例,实验组接受硬膜外自控镇痛法,对照组采用常规间断肌肉注射强痛定法。结果实验组镇痛优良率及镇痛满意率均明显高于对照组(P<0.01)。两组药物副作用比较,实验组尿潴留发生率明显高于对照组(P<0.01)。肛门排气、恶心、呕吐及生命体征的变化两组对比无明显差异。两组心率平均动脉压、氧饱和度无明显差异。结论自控镇痛法镇痛镇静效果优于常规间断肌肉注射法,是一种快速、持续、有效的术后镇痛方法,但其尿潴留的发生率较高。Objective To observe the effect and ill effect of PCEA after operation on abdominal region. Methods 100 patients were divided into two groups randomly and averagely. The patients of experiment group accepted PCEA,and the patients of control group were injected fortanodyn via muscle disconnectedly. Results The analgesia excellent and satisfied rate of experiment group were higher than that of control group remarkably. Comparing the drug ill effects of two groups, the incidence of urinary retention in experient group was remarkably higher than that in control group (P<0.01).Passage of gas by anus, nausea,vomiting and vital signs of two group patients had no significant difference. And both groups patients' cardiac rhythm, mean arterial pressure and saturation had no difference dramatically. Conclusion The analgesia effect of PCEA is better than routine disconnected fortanodyn injection via muscle. PCEA is a fast,continuous, and efficient postoperation analgesia method, except for its high incidence of urinary retention.

关 键 词：腹部手术 自控镇痛 护理 

分 类 号：R61[医药卫生—外科学] R614.42[医药卫生—临床医学]