骨科术后硬膜外自控镇痛的观察与护理

The observation and care of patient with controlled epidural analgesia after orthopedic surgery

目的 探讨骨科术后硬膜外自控镇痛(PCEA)的护理. 方法应用一次性自控镇痛泵,并妥善固定.镇痛配方:生理盐水100 ml,氟哌啶5 mg+吗啡5 mg+0.75%布比卡因10 ml,给药速度2 ml/h,持续48～72 h.重点放在对呼吸和血压的观察,做好心理护理,加强巡视. 结果骨科术后采用PCEA止痛效果好,避免了术后疼痛的发生,提高了患者休息的质量,减少了患者的痛苦. 结论骨科术后应用PCEA安全有效,及时适当的护理可改善PCEA的疗效,减少和缓解不良反应.

Objective To explore the care of orthopedic postoperative epidural analgesia (PCEA). Methods Application of disposable controlled analgesia pumps, and properly fixed. Analgesic formula:normal saline 100 ml, droperidol 5 mg + morphine 5 mg +0.75% bupivacaine 10 ml, delivery speed of 2 ml/h, continuous 48-72 h. Focus on the respiration and blood pressure observation, good psychological care, to step up inspection. Results PCEA analgesic effect was good, to avoid the occurrence of postoperative pain and improve the quality of the patient rest, reducing the postoperative pain. Conclusions PCEA is safe, effective and appropriate care, would improve the efficacy of PCEA, reduce and mitigate side effects.