肝包虫囊外切除病人术后不同镇痛方法的比较

Different methods of analgesia on hepatic hydatid disease with percystectomy

目的对肝包虫囊外切除患者全麻后硬膜外曲马多、罗哌卡因术后镇痛与全麻后曲马多静脉给药术后镇痛效果进行比较。方法按随机分配原则,选择50例肝包虫囊外切除患者,分为全麻-硬膜外镇痛(PCEA)24例和全麻-静脉内镇痛组26例,观察患者术后返房后0、6、24h各时点的VAS评分,Ramsay评分、恶心及呕吐的发生率。结果在患者返回病房0、6及24h后硬膜外镇痛组VAS显著低于静脉镇痛组,而Ramsay评分满意率硬膜外镇痛(PCEA)组显著高于静脉镇痛(PCIA)组,两组术后恶心、呕吐等发生率没有显著性差异。结论在接受肝包虫囊外切除后,持续硬膜外镇痛与静脉镇痛相比,患者硬膜外镇痛术后疼痛评分显著降低,且没有严重并发症。

Objective To compare the effect of different methods of analgesia on hepatic hydatid disease with pereystectomy. Methods 50 patients with hepatic hydatid disease with percystectomy were randomly divided into PCEA group （24 cases） and PCIA group （26 cases ）. The index of VAS, Ramsay and the incidence of vomiting and nausea at 0, 6 and 8 hours after operation were observed. Results The VAS in PCEA group was lower than that in PCIA group. The satisfactory rate with Ramsay system in PCEA group was higher than that in PCIA group. The incidence of vomiting and nausea in PCEA was not different from that in PCIA. Conclusion There is efficient of PCIA on wanalgesia on hepatic hydatid disease with percystectomy.