不同镇痛方法用于开胸手术后镇痛效果的评价

Analgesia effect evaluation of the different analgesic methods for thoracic surgery

目的探讨不同镇痛方法用于开胸手术后的镇痛效果。方法以本院收治的160例开胸手术患者为实验对象,将患者随机分为静脉自控镇痛组(PCIA)和硬膜外自控镇痛组(PCEA),对比分析两组患者的术后镇痛效果。结果两组患者的术后疼痛症状均有所缓解,其中,PCEA组患者呕吐、恶心等临床症状的发生率显著低于PCIA组患者,两组患者对比差异有统计学意义(P<0.05);两组患者镇痛满意度对比差异无统计学意义。结论本次临床实验结果表明,硬膜外自控镇痛和静脉自控镇痛都是开胸手术后较为有效的镇痛技术,能够显著降低患者呕吐、恶心等不良反应的发生率,促进患者排痰功能的恢复,其中,PCEA镇痛效果更好,因而具有更高的临床推广和使用价值。

Objective To investigate analgesia effect of different analgesia methods for postoperative analgesia of thoracotomy. Methods One hundred and sixty cases of patients with thoracotomy in our hospital were selected as experimental subjects, all patients were randomly divided into patient-controlled intravenous analgesia （PCIA） group and patient-controlled epidural analgesia （PCEA） group, postoperative analgesia effect of two groups were analyzed. Results After analgesic treatment, postoperative pain symptoms of two groups were alleviated, the incidence of vomiting, nausea and other clinical symptoms of PCEA group was significantly lower than that of the PCIA group, difference of two groups patients was significant （P 0.05）; Analgesic satisfaction of two groups compared, the difference was not a statistically significant. Conclusion The clinical trials show that PCEA and PCIA are all effective pain management techniques of thoracotomy, can significantly reduce the incidence of vomiting, nausea and other adverse reactions, and promote sputum functional recovery, but PCEA analgesic effect is better, so it has a higher value in clinical promotion and application.