自控镇痛对老年腹部手术患者围术期肺功能变化的影晌  

The Effects of PCA on the Perioperative Change of Pulmonary Function in Elderly Undergoing Abdominal Surgery

作　　者：麻海春[1] 肖莹[1] 阎德大[2] 韩树海[1] 卢宝顺[1] 赵华[3] 

机构地区：[1]吉林大学第一医院,吉林长春130021 [2]吉林大学第二医院,吉林长春130041 [3]吉林大学基础医学院,吉林长春130021

出　　处：《深圳中西医结合杂志》2003年第6期371-373,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

基　　金：吉林大学青年教师基金 (2003)

摘　　要：目的 探讨患者自控镇痛(PCA)对老年腹部手术患者围手术期肺功能变化的影响。方法 将30例ASA Ⅰ-Ⅱ级择期接受腹部手术的60岁以上老年患者随机分为常规镇痛组(对照组)和PCA镇痛组,用手提式自动肺功能仪观察老年腹部手术患者术前和术后第3天围手术期肺功能变化。结果手术后常规镇痛组用力肺活量百分率(FVC％)、第1秒时间肺活量百分率(FEV1.0％)、中期流速百分率(MMF％)、峰值流速百分率(PEFR％)和最大通气量百分率(MVV％)与术前比铰有明显降低,差异有显著性意义(P<o.05),特别是FVC％差异有非常显著性意义(P<0.01),而PCA镇痛组术后肺功能各项指标除了最大通气量百分率(MVV％)降低外与术前比较差异无显著性意义(P>0.05),与术后常规镇痛组比较差异有显著性意义(P<0.05)。结论 术后PCA镇痛方式可以改善呼吸系统功能状态,同时术前术后监测肺功能可以为老年腹部手术患者安全渡过围手术期提供观察指标。Objective To explore the effects of patient controlled analgesia (PCA) about the perioperative pulmonary function of elderly who received abdominal surgery. Methods Twenty-eight ASA Ⅰ-Ⅱ patients undergoing gastronomy were randomly divided into two groups, the dolantine group(n=15, control) and PCA group (n=13), to evaluate the preoperative and the third day of postoperative pulmonary function with pocket lung function meter, respctively. Results In dolantine group, the parameter of FVC%、FEV1.0%、MMF%、PEFR% and MVV% on the third day of postoperation significantly lower than that of preoperation (P<0.05), whereas in PCA group, except MVV% (P<0.05) there were no significant difference between preoperation and postoperation (P>0.05). Conclusion Postoperative PCA can provide a better analgesic effect and improve the function of respiratory system.

关 键 词：自控镇痛 老年 围手术期 肺功能 腹部手术 术后疼痛 

分 类 号：R656[医药卫生—外科学] R441.1[医药卫生—临床医学]