自控镇痛泵用于产科手术后镇痛效果观察及护理体会  

Nursing experience and application of self-control pain pump to improve the analgesic effect of obstetric surgery

作　　者：梁爱梅[1] 孔珉珉[1] 

机构地区：[1]泰山医学院附属医院洁净手术部,山东泰安271000

出　　处：《泰山医学院学报》2011年第10期775-777,共3页Journal of Taishan Medical College

摘　　要：目的探讨产科手术后应用持续硬膜外自控镇痛(PCEA)的效果及护理体会。方法选择2009年1月～2010年8月住院手术患者240例,随机分为两组,研究组术后应用自控泵120例(A组);对照组应用镇痛药120例(B组)。对比分析两组手术后的护理资料:观察心率、血压、恶心呕吐、呼吸抑制、皮肤瘙痒及对疼痛程度的评价。结果 A组的各项观察指标明显优于B组,其差异有统计学意义(P<0.05)。结论产科手术后应用自控泵,显著改善镇痛效果,减轻疼痛相关不良反应,围手术期相关护理及健康教育能够保证该技术的顺利实施。Objective： To investigate the nursing experience and clinical value of the patient controlled epiduralan analgesia（PCEA） to improve the analgesic effect on obstetric surgery. Methods： Among the hospital＇s 240 cases choosen from January 2009 to August 2010, the patients were randomly divided into two groups. The study group of 120 cases received the application of the controlled pump（A） ; the control group of 120 cases received the application of analgesics（ B group）. The postoperativ nursing data of respiration, heart rate, blood pressure, nausea, vomiting, dyspnea,pruritus and the evaluation of pain in the two groups were compared and analyzed. Results ： Group A was superior to the observed group B, and the difference was statistically significant （P 〈 0.05）. Conclusion： The application of controlled pumps in the postoperation of obstetric surgery can improve the analgesic effect and reduce pain - related adverse events. The proper perioperative nursing care and heahhcare education are important for the success of the procedure.

关 键 词：产科 手术 自控镇痛泵 护理 

分 类 号：R473.71[医药卫生—护理学]