自控镇痛泵在肛肠病术后的应用及护理  

PCA Pump at Postoperation of Anorectal Diseases：Application and Nursing

作　　者：崔绪芳[1] 张竹梅[1] 吕筱霞[1] 

机构地区：[1]山东中医药大学附属医院,山东济南250011

出　　处：《中国肛肠病杂志》2010年第11期60-61,共2页Chinese Journal of Coloproctology

摘　　要：为观察肛肠病术后应用自控镇痛泵的镇痛效果，对98例肛肠病术后患者实施自控镇痛（PCA），其中硬膜外自控镇痛（PCEA）29例，静脉自控镇痛（PCIA）69例，并对两种自控镇痛方法进行镇痛效果观察。结果显示，PCEA的镇痛效果优于PCIA，但PCEA出现硬膜外导管脱落、镇痛失败2例，出现下肢麻木4例，腹胀、便秘3例，尿潴留5例。结果表明，PCEA与PCIA两种术后镇痛模式各有其优缺点，镇痛模式应由麻醉医师和手术医帅根据麻醉方式和手术种类等相关因素做出选择。The objective of this study was to observe the efficacy of PCA（patient-control analgesia） pump used at postoperation of anorectal diseases. The 98 postoeprative patients performed PCA,ineluding extraduralPCA （PCEA） in 29 cases,intravenous PCA（PCIA） in 69 cases; the analgesia efficacy of the two methods was observed and compared each other. Results showed that PCEA was superior to PCIA, but during PCEA extradural duct was disjointed thus resuting in analgesia failure in 2 cases,patlent＇s lower ex- tremitas had numbness in 4 cases,abdominal distension and constipation occured in 3 cases,retention of u- rine occured in 5 cases. It is clear that the two analgesia methods have their either advantages and shortcomings each from other,thus the choice of analgesia mehtods should be made by doctors according to the relative factors such as anesthesia modes and operative procedures,and so on.

关 键 词：肛肠疾病 手术 自控镇痛泵 

分 类 号：R473.6[医药卫生—护理学]