腹部肿瘤术后持续硬膜外自控镇痛效果观察及护理

Observation of the effect of postoperative sustained epidural analgesia with self-controlled pump on the patients after abdominal tumor surgery and nursing care

目的:探讨腹部肿瘤患者术后持续硬膜外自控镇痛(PCEA)的效果及护理方法。方法:将120例腹部肿瘤手术患者随机分为观察组和对照组各60例,观察组术后行PCEA;对照组应用镇痛药。观察、比较两组患者呼吸、心率、血压、恶心、呕吐、呼吸抑制、皮肤瘙痒及疼痛情况。结果:两组患者安静状态下VAS评分、不良反应情况比较差异均有统计学意义(P<0.05,P<0.01)。结论:腹部肿瘤患者术后应用自控镇痛泵,可改善镇痛效果,减轻不良反应发生。

Objective：To investigate the effect of postoperative sustained epidural analgesia with self-controlled pump on the patients after abdominal tumor surgery and nursing methods.Methods： 120 patients with abdominal tumor surgery were randomly divided into observation and control groups（60 cases for each group）.The patients in the observation group received postoperative sustained epidural analgesia with self-controlled pump and the patients in the control group were given analgesics after surgery.The patients＇ breathing,heart rate,blood pressure,nausea and vomiting,respiratory depression,skin itching and pain were observed and compared between the two groups.Results： The comparison of VAS scores in quiet state and adverse reactions was significantly different between the two groups（P〈0.05,P〈0.01）.Conclusion： The postoperative sustained epidural analgesia with self-controlled pump can improve the analgesic efficacy and reduce adverse reactions of the patients after abdominal tumor surgery.