摘要
目的：比较自控硬膜外镇痛（PCEA）和自控静脉镇痛（PCIA）在胸外科术后患者中的应用效果及护理方法。方法：将126例胸外科手术患者随机分为PCEA组65例和PCIA组61例,比较两组术后VAS评分、自行按键次数及术后72 h内不良反应发生情况。结果：PCEA组术后VAS评分低于PCIA组（P〈0.05）,术后〈12 h、12～24 h、24～36 h自行按键次数少于PCIA组（P〈0.05）,术后72 h内嗜睡、头痛、恶心、呕吐、呼吸抑制发生率低于PCIA组（P〈0.05）。结论：胸外科术后患者应用PCEA的镇痛效果和安全性优于PCIA。
Objective： To compare the postoperative analgesic effect of patient- controlled epidural analgesia（ PCEA） with patient-controlled intravenous analgesia（ PCIA） in thoracic surgery and nursing methods. Methods： 126 patients undergoing thoracic surgery were randomly divided into PCEA group（ n = 65） and PCIA group（ n = 61）. The postoperative VAS score,the number of pressing button by patients themselves and the occurrence of adverse reactions within 72 hours after operation were compared between the two groups. Results：The postoperative VAS score was lower in PCEA group than that in PCIA group（ P〈0. 05）; the number of pressing button by the patients was fewer in PCEA group than PCIA group within 12 hours,12 to 24 hours and 24 to 36 hours after operation（ P〈0. 05）; the occurrence of lethargy,headache,nausea,vomiting and respiratory depression within 72 hours after operation was less in PCEA group than PCIA group（ P〈0. 05）. Conclusion： The postoperative analgesic effect and safety of PCEA is better than that of PCIA in thoracic surgery.
出处
《齐鲁护理杂志》
2015年第8期16-18,共3页
Journal of Qilu Nursing
