自控镇痛泵用于腹部肿瘤手术后镇痛疗效观察

Application of Self-control Pain Pump to Improve the Effect of Postoperative Abdominal Tumor

目的探讨腹部肿瘤患者术后应用持续硬膜外自控镇痛(PCEA)及减少疼痛相关不良反应的效果。方法选择2009年1月至2010年1月来住院的腹部肿瘤手术100例,随机分为两组,研究组术后应用自控泵50例(A组);对照组应用镇痛药50例(B组)。对比观察呼吸、心率、血压、恶心呕吐、呼吸抑制、皮肤瘙痒及对疼痛的评价。结果 A组的各项观察指标明显优于B组,其差异有统计学意义(P<0.05)。结论腹部肿瘤患者术后应用自控泵,显著改善镇痛效果,减轻疼痛相关不良反应,有利于维持人体各系统生理功能。

Objective To explore the application of patient controlled epidural analgesia（PCEA） postoperative abdominal tumor to improve the analgesic effect and adverse reactions of pain. Methods To choice from July 2008 to July 2010 in hospital＇s 100 cases of abdominal tumor, the patients were randomly divided into two groups. Study group were 50 cases of application controlled pump（A）; control group, 50 cases of the application of analgesics（B group）. Comparative observation of respiration, heart rate, blood pressure, nausea, vomiting, dyspnea, pruritus and the evaluation of pain. Results Group A was superior to the observed group B, the difference statistically signif icance（P〈0.05）. Conclusion Postoperation of abdominal tumor the application of controlled pumps, to improve the pain and the analgesic effect of adverse reactions signif icant to maintain the physiological functions of the human body systems.