骨科病人术后应用自控镇痛后预防尿潴留的方法及效果分析  

Analysis on methods and effect of preventing urinary retention for postoperative orthopedic patients accepting self-control analgesia

作　　者：张雪珍[1] 余旭辉[1] 段清萍[1] 黄淑芬[1] 郑慧琳[1] 

机构地区：[1]广东省深圳市宝安区人民医院

出　　处：《家庭护士（专业版）》2008年第21期1887-1888,共2页Family Nurse

摘　　要：[目的]探讨骨科病人硬脊膜外麻醉术后应用自控镇痛(PCEA)发生尿潴留的原因和预防方法。[方法]将100例硬脊膜外麻醉术后使用PCEA的病人随机分为对照组和实验组。对照组采用常规处理方法预防尿潴留,实验组采用延迟使用PCEA2h^4h预防尿潴留,并应用放松疗法及辅助使用无尿潴留副反应的镇痛药物等治疗短时疼痛。[结果]实验组尿潴留发生率明显低于对照组(P<0.01),实验组病人满意度明显高于对照组(P<0.01),两组病人镇痛效果无明显差异(P>0.05)。[结论]硬脊膜外麻醉术后延迟使用PCEA2h^4h,可有效地预防尿潴留,提高病人的满意度。Objective： To probe into the urinary retention occurred in orthopedic causes and methods of prevention of patients accepting postoperative controlled epidural analgesia （PCEA） under epidural anesthesia. Method. A total of 100 patients accepting PCEA under epidural anesthesia were divided into control and test group randomly. Patients of control group were adopted traditional handling to prevent urinary retention. Patients of test group were adopted postponing use of PCEA for 2～4 hours to prevent urinary retention, and at the same time, relaxation therapy and assisted with analgesic drugs without side reactions of urinary retention to treat short--term pain of them. Result： The incidence of urinary retention in test group was significantly lower than that in control group（P〈0.01）. The degree of satisfaction of test group patients was much higher than that of control group（P〈0. 01）. There was no significant difference in terms of painkilling effect between both groups （P〈0.05）. Conclusion. By adopting postponing of PCEA for 2～4 hours under epidural anesthesia for patients can prevent urinary retention effectively and enhance the degree of satisfaction of Datients.

关 键 词：骨科病人 自控镇痛 尿潴留 

分 类 号：R473.6[医药卫生—护理学]