开腹术后PCA不同使用方法的临床观察

Clinical Observation on Different PCA Methods after Abdominal Operation

目的观察、比较经静脉注射患者自控镇痛(PCIA)和经硬膜外患者自控镇痛(PCEA)在开腹手术患者的应用效果。方法两组患者各45例,观察两组患者的镇痛效果、并发症等情况。结果PCEA组与PCIA组在镇痛效果、尿潴留、导管堵塞、导管脱落方面比较,差异有显著性,P<0.05;在静脉炎、恶心呕吐、腹胀、呼吸抑制方面比较,差异无显著性,P>0.05。结论PCIA与PCEA用于妇科开腹术后镇痛均安全有效,但PCEA镇痛效果优于PCIA,患者术后主动配合性高、恢复快。

Objective Observing and comparing the effects on abdominal post-operation patients with patient-controlled intravenous analgesia （PCIA） and patient-controlled epidural analgesia （PCEA）, respectively. Methods Analgesia effects, post-operation syndrome etc. on two groups of patients（ 45 cases for each group） were observed. Results Significant differences were found in analgesia, urine retention, catheter obstruction, catheter migration of PCEA and PCIA group （P〈0.05） whereas no significant differences were found in phlebitis, nausea, vomiting, abdominal distention or respiratory depression of these two groups （P〉0.05）. Conclusion PCIA and PCEA are safe and effective for analgesia after gynecologic abdominal operation while the effects of PCEA is superior to that of PCIA, moreover, the patients of PCEA have stronger sense of cooperation and fast recovering after operation.