术后患者不同镇痛方法效果的观察及临床护理

Observation and clinical nursing about different patient-controlled analgesia after operation,

目的 :观察术后患者不同自控镇痛方法的效果 ,总结护理经验。方法 :将 90例患者随机分为 3组 ,A组肌肉注射杜冷丁 5 0mg ,每 6h给药 1次 ;B组静脉给予吗啡 6 0～ 10 0mg加氟哌啶 5mg加 0 9%NS至 10 0ml;C组硬膜外给予吗啡 5mg加氟哌啶 5mg加 0 5 %布比卡因 2 5ml加 0 9%NS至 10 0ml。B、C组采用PCA泵装置。结果 :肌注给药镇痛效果差 ,镇静度高。PCA治疗期VAPS评分均在 5分以下 ,镇痛效果好 ,硬膜外PAC组与静脉PCA组差异无显著性 ,两组均无明显呼吸障碍或循环系统副作用。结论 :PCA方式镇痛是一种有效的临床术后镇痛方法 ,通过静脉或硬脊膜外给药途径 ,能减少用量及副作用 ,提高镇痛效果。

Objective:Observate result of different patient-controlled analgesia Method:90 cases were randomly divided into 3 groups A:intramuscular injection ofDolantin 50mg,q6h,B:60mg morphine iv +5mg haloperitol+0 9%NS in 100ml C:5mg rnorphine + haloperitol 5mg+0 5% bubicarnice 25ml + 0 9% NS in 100ml,epidural injection B,C through PCA pump Result:Intramuscular path has poor analgesia result,but better sedative,epidural and intraveinous group have no significant difference,no complication Conclusion:PCA is an effective analgesic method,intraveinous or epidural path can reduce dosage and side effects,improve analgesic result