不同自控镇痛方法用于骨折术后的效果观察与护理对策

Clinical observation and nursing countermeasure of analgesia after postoperative of fracture by using different patient controlled analgesia pump

目的探讨不同自控镇痛方法用于骨折术后的效果及护理体会。方法研究对象为2012年1—6月我院收治的126例骨折术后患者,随机分为实验组及对照组,每组63例。对照组采取经静脉自控镇痛泵进行镇痛治疗,实验组采取硬膜外自控镇痛泵进行镇痛治疗并辅以相关不同护理措施。结果实验组镇痛效果显著优于对照组(P<0.05),实验组住院时间显著短于对照组(P<0.05)。结论硬膜外自控镇痛辅以有效护理措施镇痛效果显著,可缩短住院时间,值得推广应用。

Objective To compare the analgesia effect of PCVA/PCEA on after postoperative of fracture and summarize the nursing experience after patient controlled analgesia pump.Methods 126 patients were randomized into control group（63） and experiment group（63）.The patients in control group adopted PCVA and the experiment group adopted PCEA and adopt different nursing cares.Results The analgesic effect and mean length of hospital stay in the experimental group were significantly better than those of the controls（P〈0.05）.Conclusions PCEA in after postoperative of fracture shows good analgesia effect,it can decrease the mean length of hospital stay and should be widely applied.