硬膜外自控镇痛和静脉自控镇痛用于开胸手术患者术后镇痛的效果分析

Effect analysis of epidural analgesia and intravenous analgesia for postoperative analgesia of thoracic surgery patients

目的分析硬膜外自控镇痛(PCEA)和静脉自控镇痛(PCIA)用于开胸手术患者术后镇痛的效果。方法选取2012年4月至2013年1月收治的100例需行开胸手术患者,随机将这些患者分为两组,即PCEA组和PCIA组,每组50例。对两组患者的镇痛效果进行比较分析。结果 PCEA组患者术后2 h静止状态下和术后6 h、24 h活动状态下的视觉模拟疼痛评分(VAS)明显比PCIA组患者低,术后24 h、48 h的Ramsay评分明显比PCIA组患者低,肺感染、恶心呕吐、切口感染、术后谵妄发生率明显比PCIA组患者低,术后住院时间比PCEA组患者短,差异具有统计学意义(P<0.05)。结论 PCEA较PCIA用于开胸手术患者术后镇痛具有更好的效果,值得推广。

Objective To analyze the effect of epidural analgesia（PCEA） and intravenous analgesia（PCIA） for postoperative analgesia of thoracic surgery patients. Methods 100 cases of thoracic surgery patients who had been treated in our hospital from April 2012 to January 2013 were selected. They were randomly divided into two groups, namely patient - controlled epidural analgesia （PCEA group） and intravenous analgesia group （ PCIA group）, 50 cases in each group. Analgesic effect of two groups of patients were compared. Results The VAS score postoperative 2 h stationary state and the active state after 6 h ,24 h of PCEA group were significantly lower than those of PCIA group. The Ramsay score postoperative 24 h ,48 h of was significantly lower than that of PCIA group. The occurance rates of lung infection, nausea and vomiting, wound infection, postoperative delirium were significantly lower than those of PCIA group. The postoperative hospital stay was shorter than that of PCEA group. The differences were statistically significant （ P 〈 0.05 ）. Conclusion The effect of PCEA is better than PCIA for postoperative analgesia of thoracic surgery patients, so is worthy of promoting.