老年人开胸术后镇痛泵镇痛的效果观察及护理对策  

作　　者：周立霞[1] 尚跃宏[1] 田明霞[1] 刘福升[1] 

机构地区：[1]北京老年医院,北京100095

出　　处：《现代临床护理》2008年第5期19-21,共3页Modern Clinical Nursing

摘　　要：目的探讨老年人开胸术后镇痛泵的镇痛效果及此类患者的护理对策。方法将开胸术后116例老年患者随机分为两组,观察组术后使用镇痛泵接锁骨下静脉管;对照组为疼痛时肌内注射哌替啶。分别于术后6、24、48及72h观察并记录两组患者的疼痛情况;同时于术后24h观察排痰效果;记录术后拔管时间。结果观察组镇痛效果明显好于对照组,VAS评分、排痰效果、拔管时间与对照组比较,差异有统计学意义(均P<0.05)。结论老年开胸术后患者微量泵持续镇痛能产生良好的镇痛效果,是一种安全、有效的镇痛方法。Objective To study the effect of auto-controlled analgesic pump and policy of nursing about elderly posthoractomy patients. Methods A total of 116 post-thoracotomy patients were divided into the treatment group （n=60） and the control group （n=56）. The analgesic pump was connected to CVP catheter after 6 h, 24 h, 48 h and 72 h after operation in the treatment group, and pethidine was injected when patients felt pain in the control group. The effect of postoperative analgesia by VAS, expectoration, optimal extubation time was observed between two groups. Result There were significant differences in VAS, expectoration,optimal extubation time between the treatment group and the control group （all P 〈 0.05）. Conclusion The elderly post thoraeotomy with continuous analgesic pump can produce good effect and be a safe and effective method.

关 键 词：老年人 开胸术 自控镇痛 护理 

分 类 号：R473.6[医药卫生—护理学]