患者自控静脉镇痛与硬膜外镇痛满意度的调查分析  

A survey of patients satisfaction with PCIA and PCEA

作　　者：崔绪芳[1] 马兴燕[1] 艾爽[1] 苏帆[1] 

机构地区：[1]山东中医药大学附属医院麻醉科,济南市250011

出　　处：《实用疼痛学杂志》2011年第6期442-444,共3页Pain Clinic Journal

摘　　要：目的调查术后患者自控静脉镇痛（PCIA）和硬膜外镇痛（PCEA）的镇痛满意度并分析其影响因素。方法选取手术患者98例，随机接受PCIA和PCEA，记录患者的镇痛满意度、VAS评分，并记录恶心呕吐、下肢麻木、烦躁、尿潴留和精神症状等并发症。结果PCIA患者的镇痛满意度高于PCEA（P〈0．05）。患者对PCIA和PCEA的满意度均与VAS评分呈显著负相关（P〈0．01）。结论PCIA患者的满意度高于PCEA患者。VAS评分是影响PCA患者术后镇痛满意度的主要指标。Objective To investigate patients satisfaction with the postoperative patient-controlled intravenous analgesia （PCIA） and epidural analgesia （PCEA） and analyze the related influential factors. Methods Ninety-eight patients received PCIA or PCEA after operation. The patients satisfaction with postoperative analgesia and VAS were recorded. Nausea, vomiting, numbness, irritability, urinary retention, psychiatric symptoms, and other complications were also recor ded. Results The degree of patients satisfaction with PCIA was higher than that with PCEA （P〈 0.05）, which was significantly negatively correlated with the VAS. Conclusion The degree of patients satisfaction with PCIA is higher than that with PCEA, VAS is a major index influencing the degree of patients satisfaction on postoperative analgesia.

关 键 词：疼痛 手术后 镇痛 患者控制 视觉疼痛评分 患者满意度 问卷调查 

分 类 号：R614.42[医药卫生—麻醉学]