外科手术中PCA的临床观察与护理

The cilinic observation and nursing of PCA in surgical operation

目的探讨病人自控镇痛技术（PCA）在外科手术中的应用及护理效果。方法将80例外科手术病人随机分为两组，其中40例为对照组采取传统镇痛方法；40例为试验组采用PCA。观察和比较两组镇痛效果、术后恢复情况及不良反应。结果试验组术后镇痛效果明显优于对照组组（P〈0．01），首次下床活动时间明显短于对照组（P〈0．01）。结论PCA用于外科术后，镇痛效果好，不良反应少，有利于病人的术后恢复。

Objective To investigate effect and nursing result of patient controlled analgesia, PCA in surgical operation. Methods 80 patients randomly enrolled into either traditional and PCA methods to release the pain. Results Painful result in PCA group were better than control group （ P 〈 0. 05 ） . The time to walk were shorter than control group （ P 〈 0. 05 ） . PCA group have a short time to walk and little side - effect （ P 〈 0. 05） . Conclusion PCA was a simple and a better effect method after surgical operation.