腹部术后硬膜外持续自控泵镇痛对胃肠功能恢复影响的研究

Study on the Effect of gastric-intestinal function recovery by extradural continuous Self-controlled ease pain after abdominal operation

目的探讨腹部手术后硬膜外持续加自控泵镇痛对患者胃肠运动功能恢复的影响。方法对 10 0例大、中型腹部手术后的病人进行随机分组。采用硬膜外持续加自控泵镇痛 (PCEA)患者 5 0例 ,对照组 5 0例 ,采用间断肌肉注射镇痛剂。观察对比两组患者肠鸣音恢复时间、肛门排气时间。结果PCEA组肠鸣音恢复时间为 5 2 .36±2 .5 3h ,对照组为 5 1.75± 3.78h ;PCEA组肛门排气时间为 6 5 .4 7± 2 .16h ,对照组为 6 5 .2 3± 2 .31h ,两组比较 ,患者术后肠鸣音恢复时间和肛门排气时间差异无显著意义 (P >0 .0 5 )。结论术后持续镇痛 (PCEA)不影响腹部手术患者胃肠运动功能的恢复 。

Objective To exploration the Effect of gastric-intestinal function recovery by extradural continuous Self-controlled ease pain after abdominal operation.Method 100 patients with big or middle style abdominal operation were randomly divided into two groups experimental group adopted extradural continuous Self-controlled ease pain(50 cases), control group adopted muscle injection of analgesic at certain interval.The recovery time of gurgling sound ,time of anus exhaust were compared between two group. Result The recovery time of gurgling sound in experiment group was 52.36±2.52h,and 51.75±3.78,time of anus exhaust in experiment group was 65.47±2.16h,and 65.23±2.31 There is no significant difference between the two groups( P >0 05) Conclusion Extradural continuous Self-controlled ease pain after abdominal operation will not effect the recovery of gastric intestinal function.But nursing and instruction at early stage after operation are needed.