不同途径镇痛在开胸手术患者的应用比较

The Comparation of Different Approach to Ease Pain in Open-Chest Operation Patient

目的比较经静脉注射病人自控镇痛(PCIA)和经硬膜外病人自控镇痛(PCEA)在开胸手术患者的应用效果。方法两组病人各50例,观察两组病人的镇痛效果、病人的满意度、病人的配合性及并发症等情况。结果PCEA组与PCIA组在镇痛效果、满意度、尿潴留、导管堵塞、术后主动配合比较,差异有显著性,P<0·05;在恶心、呕吐、瘙痒、静脉炎、导管脱落、肺部感染方面比较,差异无显著性,P>0·05。结论PCIA与PCEA用于开胸术后镇痛均安全有效,但PCEA对开胸术后病人的镇痛效果优于PCIA,患者满意度高。

Objective To compare the usage effect of Patient Control Injection Ache （PCIA） and Patient Control Extradural Ache （PCEA） in open- chest operation patients. Methods The each group is 50 cases, to inspect the effect, satisfactory degree, patients＇cooperative, degree, and syndrome. Results The compare of effect, satisfactory degree, urine remain , duct obstruction, cooperative in PCEA group with PCIA group were significantly, P 〈 0. 01, the compare in nausea, vomit, tickle, phlebitis, duct shed, lung infection we,re significantly, P 〉 0. 05. Conclusion PCIA and PCEA were safe and effectiveto ease pain after open - chest operation , but PCEA is better than PCIA, patlents＇satisfactory degree is high.