静脉自控镇痛泵在断指再植患者术后应用的疗效观察和护理  

Effect observation and nursing of postoperative application of patient-controlled intravenous analgesia in patients undergoing digital replantation

作　　者：温春平[1] 温日芳[1] 

机构地区：[1]灵山县人民医院骨科,广西535400

出　　处：《中国临床新医学》2012年第2期161-163,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：钦州市科学研究与技术开发计划项目(编号:20100919)

摘　　要：目的探讨断指再植术后应用静脉自控镇痛泵(PCIA)的镇痛效果及护理方法。方法 152例断指再植病人随机分为PCIA组(107例),静脉持续匀速输入镇痛药;肌注(IM)组(45例),根据患者要求间断肌注哌替啶。应用视觉模拟评分法(VAS评分法)评价患者术后不同时间疼痛程度、药物不良反应及再植指血管危象发生情况。结果 IM组术后VAS评分高于PCIA组(P<0.05);IM组术后再植指血管危象发生率亦高于PCIA组(P<0.05)。结论断指再植术后PCIA组镇痛效果好,但不良反应较多,护士应正确实施护理干预,减少镇痛不良反应,增强镇痛效果。Objective To explore the effect and nursing method of postoperative application of patient-controlled intravenous analgesia （PCIA） in patients undergoing digital replantation. Methods One hundred and fiftytwo patients undergoing digital replantation were randomly divided into two groups. PCIA group （ 107 patients） received continuous intravenous analgesic uniform infusion; the intramuscular injection （IM） group （45 patients） received intermittent intramuscular injection of pethidine according to the requirements of patients. Visual analogue score （ VAS ） was used for evaluating postoperative pain levels at different times, drug adverse reactions and the incidence of vascular crisis of replanted fingers. Results The VAS sores in the IM group was higher than that in PCIA group （P 〈 0.05）. In postoperative incidence of vascular crisis of replanted fingers in the IM group was higher than that in PCIA group （P 〈 0. 05）. Conclusion Postoperative application of PCIA in patients undergoing digital replantation has better analgesic effect, but more adverse reactions. The nurse should use the correct nursing intervention to reduce the analgeaic adverse reactions, and improve effect of analgesia.

关 键 词：断指再植 镇痛 护理 

分 类 号：R473.6[医药卫生—护理学]