妇科腹部手术后硬膜外持续阵痛药物对功能恢复的影响和护理

Functional Recovery Affeition and Nursing OF PCEA After Gynecologic Surgica Procedure

目的:探讨不同药物持续硬膜外镇痛(PCEA)对患者术后胃肠道及膀胱功能恢复的影响。方法:将60例妇科腹部手术后使用PCEA的病人分成两组。实验组选择曲马多镇痛混合液PCEA,对照组采用吗啡镇痛混合液PCEA,观察患者术后第一次肛门排气时间、排尿情况,第一次下床活动时间和头痛、呕吐、睡眠等情况。结果:患者第一次肛门排气时间实验组为34.47小时±4.2小时,对照组51.43小时±5.08小时(P<0.001)。术后排尿通畅者两组比较(P<0.05)。术后尿潴留及第一次下床活动时间、头痛、呕吐、睡眠等情况,两组比较无统计学意义(P>0.05)。结论:使用不同的药物行PCEA,对患者术后胃肠功能和膀胱功能的恢复均有不同程度的影响。要加强围手术期的护理及宣教,以减少不良反应的发生。

Objective： To study continuous epidural analgesia medicine（PCEA）for effecta of function recovery of gastrointestinal tract and urocyst after gynecologic surgical procedure.Method＇60 cases with PCEA were divided into two groups,experiment group or tramadol group and Contract group or Morphine group.After operation we watched patient＇ s first exhaust time,contrition of maturation,first activw time,Vomiting,headache and sleep.Results：The patient＇ sfirst exhaust time in the experiment group（34.47＋ 4.2h ）wasshorter than that in the contrsct group （51.43 ＋ 5.08hp 〈 0.001）.The patient＇ s micturition in the experiment group wsa better than that in the contrsct group after operation（p 〈 0.05）.The times of uroschesis and keeping in bed and vomiting,headache,sleep were alike in two groups（p〉0.05）. Conclusion：Different medicine had effected function recovery of patient＇ s gastrointestinal tract and urocyst in the PECA.We must do hard nursing,propaganda and education and reduce harmful effects.