胸腹部手术后硬膜外自控镇痛对术后肺部感染的影响

Effect of thoracic and abdominal surgery patient-controlled epidural analgesia on postoperative pulmonary infections

目的探讨研究胸腹部手术后硬膜外自控镇痛对术后肺部感染的影响。方法选取2008年1月-2011年6月于医院进行胸腹部手术治疗的160例患者为研究对象,将其随机分为对照组(哌替啶肌注组)80例和观察组(硬膜外自控镇痛组)80例,后将两组患者的术后24hVAS疼痛评分、咳痰效果、肺部感染发生率及满意度进行统计比较。结果观察组的VAS疼痛评分为0～3分、咳痰效果良好者比例及满意度分别为86.25%、83.75%、100.00%,明显高于对照组的51.25%、56.25%、93.75%,差异均有统计学意义(P<0.05)。结论胸腹部手术后硬膜外自控镇痛对术后肺部感染的影响好于传统镇痛方法,效果较好。

OBJECTIVE To investigate and research the effect of thoracic and abdominal surgery patient-controlled epidural analgesia on postoperative pulmonary infections.METHODS A total of 160 patients undergoing thoracic and abdominal surgery from Jan 2008 to Jun 2011 were chosen as the research objects.They were randomly divided into the control group（intramuscular pethidine group） with 80 cases and the observation group（hard epidural analgesia group） with 80 cases.The 24h VAS score,sputum results,the incidence of pulmonary infections,and satisfaction for the two groups after surgery were taken for statistics and comparison.RESULTS The VAS score varied from 0 to 3 points,the proportion of sputum to good effect,the incidence of pulmonary infection,and satisfaction of the observation group were 86.25%,83.75%,100.00%,significantly higher than 51.25%,56.25%,and 93.75% of the control group,the difference was statistically significant（P0.05）.CONCLUSION The effect of thoracic and abdominal surgery patient-controlled epidural analgesia is superior to that of traditional method on postoperative pulmonary infections.