胃肠道手术后三种不同给药途径镇痛效应的评价

EFFCTS OF THREE DIFFERENT ADMINISTRATION WAYS ON PAIN EASING AFTER GASTROINTESTINAL SURGERY

目的通过观察胃肠道手术后三种不同途径给药镇痛的效果和并发症,比较不同方式给药镇痛的优缺点。方法150例胃肠道手术患者随机分成三组,肌注给药镇痛50例,连续静脉加自控镇痛50例,硬膜外注药自控镇痛50例,比较三组镇痛的效果及并发症。结果肌注组疗效较差,用药量大,恶心、呕吐发生率高。连续静脉自控镇痛组疗效佳,并发症少,不影响胃肠功能的恢复。硬膜外自控镇痛组疗效佳,但并发症多,胃肠功能恢复慢,尿潴留发生率高。结论连续静脉自控镇痛应用于胃肠道手术后镇痛疗效佳,不影响胃肠功能的恢复,值得推广。

Objective To observe pain easing effects and complications of three different drug administration ways in postoperative patients and compare their benefits. Methods 150 postoperative gastrointestinal surgery patients were divided into three groups, intramuscular injection group（50 cases）, continuous intravenous injection and self-controlled group（50 cases）, epidural injection and self-controlled group（50 cases）. Pain easing effects and complications in three groups were compared. Results In intramuscular injection group, curative effect was relatively bad, persons who use medicine hcavy were easy to sick or vomit. In continuous intravenous injection and self-controlled group, curative effect was better, there were little complications, function of intestines and stomach was easier to recovery. In epidural injection and self-controlled group, curative effect was good, but there were more complications, and need longer time to recover intestines and stomach function, in addition, the incidence of urinary retention was higher. Conclusion Curative effect of continuous intravenous patients controlled analgesia is good, and the function of intestines and stomach is easier to recovery, in conclusion, it is worth to be popularized,