开胸术后两种镇痛方法的临床探讨  

CLINICAL INVESTIGATION OF TWO ANALGESIA METHODS AFTER THORACOTOMY

作　　者：殷文堂[1] 李军昭[1] 

机构地区：[1]河南省商水县人民医院,466100

出　　处：《现代预防医学》2010年第5期959-960,共2页Modern Preventive Medicine

摘　　要：[目的]比较开胸术后两种镇痛方法的镇痛效果。[方法]回顾性分析2005年1月～2009年5月开胸手术病人62列,ASAI-II级,将病人随机分为自控静脉镇痛(PCIA)A组,自控硬膜外镇痛(PCEA)B组。分别观察术后4、8、16、24、48h收缩压(SBP)、舒张压(DBP)、心率(HR),镇静、镇痛、呕吐等指标,并对这两组数据进行比较观察。[结果]镇静镇痛评分术后B组在各观察时段均优于A组。两组术后恶心呕吐发生率较低,组间差异无统计学意义。术后心率、呼吸频率两组无明显差异。脉搏、氧饱和度B组普遍高于A组(96%比94%)但都在正常范围。[结论]开胸术后PCIA、PCEA都能有效地解除患者术后疼痛,但PCEA更优越。[Objective] To compare the effects of two analgesia methods after thoracotomy.[Methods] Retrospectively analyzed 62 ASAI-II patients with thoracotomy from January,2005 to May,2009.Randomly divided into the patient controlled intravenous analgesia（PCIA） A group,the patient controlled epidural analgesia（PCEA） B group.Observed and compared systolic pressure（SBP）,diastolic pressure（DBP）,heart rate,analgesia and vomiting 4,8,16,24,48 h after operation.[Results] The analgesia scores were higher in B group than in A group.The incidences of vomiting were lower in two groups,there was no significant difference.Heart rate and respiratory frequency were different.Pulse and oxygen saturation were higher in B group than in A group.[Conclusion] Both PCIA and PCEA are effective in relieving pain,but PCEA is better.

关 键 词：开胸手术 恢复质量 应激反应 自控镇痛 

分 类 号：R614[医药卫生—麻醉学]