肛肠病术后自控镇痛泵的临床应用  

Clinical Application of Patient Controlled Analgesia ( PAC) Pump Among Postoperative Patients of Anorectal

作　　者：吴昭萍[1] 陈羽[1] 邓莉[1] 李林[1] 赵自星[1] 

机构地区：[1]中国人民解放军第452医院,成都610021

出　　处：《航空航天医学杂志》2013年第9期1046-1048,共3页Journal of Aerospace medicine

摘　　要：目的：观察肛肠疾病术后使用自控镇痛泵的镇痛效果及不良反应，为自控镇痛泵的临床应用提供依据。方法：统计2011—05—2012—05行肛肠手术患者899例，其中术后使用自控镇痛泵426例，未用镇痛泵为常规组，473例，比较疼痛评分，不良反应的发生。结果：肛肠疾病术后疼痛需医疗干预的占77．6％，而使用自控镇痛泵患者镇痛效果90．4％，常规组术后不良反应发生率9．3％，镇痛组12．4％，两组无明显差异，主要的不良反应为胃肠道反应。结论：肛肠疾病术后镇痛非常有必要，术后使用自控镇痛泵镇痛效果好，用药少，不良反应发生率低，值得临床推广。Objective ：To observe the analgesic effect and adverse reactions of patient controlled analgesia （PAC） pump among postoperative patients of anorectal diseases to provide evidence for clinical application. Methods：We performed a study of 899 postoperative patients with anorectal diseases in our hospital from May 2011 to May -2012, Patients were randomly categorized in two groups on the basis of using PCA after operation （ PCA Group, n = 426） , or not using PCA （ General Group, n = 473 ）. The analgesic effct and adverse reactions were analyzed. Results： The effective rate of PCA Group was 90. 4% ,However,77.6% of the general group needed medical intervention. There was no significant difference in adverse reactions between the two groups（PCA Group：12.4% VS General Group：9. 3% ;P 〉0. 05）. Conclusions：PCA for postoperative patients is safe and effective, with low incidence of adverse reactions . It is appropriate for clinical application.

关 键 词：肛肠疾病术后 自控镇痛泵 

分 类 号：R614.4[医药卫生—麻醉学] R619[医药卫生—外科学]