术后止痛治疗硬膜外给药与静脉给药的比较

Comparison of Intravenous PCA and Epidural PCA in Lower Abdominal Postoperation

〔目的〕对120例下腹手术患者术后疼痛治疗的二种给药方法硬膜外给药与静脉给药进行临床观察比较。〔方法〕将120例下腹手术患者随机分为两组,每组60例。一组为PCEA组,二组为PCIA组。在术后疼痛治疗的48小时～72小时内观察记录镇痛效果、用药量和副作用反应。〔结果〕两组病人均达到良好的术后止痛效果。PCIA组镇痛药用量明显多于PCEA组。PCIA组嗜睡、谵妄、呼吸抑制等不良反应多于PCEA组(P<0.05)。〔结论〕下腹手术术后疼痛治疗方法PCEA优于PCIA,镇痛药用量小,副作用少。

urpose〕To Compare the clinical effect of intravenous PCA(PCIA) and epidural PCA(PCEA) in one hundred and twenty patients with lower abdominal surgery postoperation.〔Methods〕120 patients were randomly divided into two groups,each group contained 60 patients:group PCEA and group PCIA.Analgesia effect, dosage and side effect were monitored for 48～72 hours after operation.〔Results〕All patients in two groups were satisfactory with the postoperative analgesia.Analgesia dosage in group PCIA were significantly higher than that in group PCEA.The side effect of sleepiness、delirium、respiratory depression,et al. in group PCIA was more than that in group PCEA(P<0.05)〔Conclusion〕For postoperative analgesia in low abdominal surgery,PCEA is better than PCIA.The dosage and the side effect of PCEA is less than those of PCIA.