CAJ | 학술논문

目的：观察术后病人应用硬膜外自控镇痛(PCEA)术和静脉自控镇痛(PCVA)术，对疼痛治疗的效果及副作用发生率。方法：根据病人术后镇痛方法及配制镇痛药物的不同，将80例病人随机分为A和B两组，每组40例。A组选用PCEA术，持续注射吗啡+布比卡因混合液；B组选用PCVA术持续注入芬太尼，比较两组在镇痛过程中的差异。结果：A组和B组都具有良好的镇痛效果，优良率相比(P＞0．05)没有显著差异。A组的负作用发生率高于B组（P＜0.05）。结论：B组病人选用PCVA术，持续注入枸橼酸芬太尼，有95％的病人达到了优良的镇痛效果，并且副作用发生率很低，是一种比较理想的术后镇痛疗法。
목적：관찰술후병인응용경막외자공진통(PCEA)술화정맥자공진통(PCVA)술，대동통치료적효과급부작용발생솔。방법：근거병인술후진통방법급배제진통약물적불동，장80례병인수궤분위A화B량조，매조40례。A조선용PCEA술，지속주사마배+포비잡인혼합액；B조선용PCVA술지속주입분태니，비교량조재진통과정중적차이。결과：A조화B조도구유량호적진통효과，우량솔상비(P＞0．05)몰유현저차이。A조적부작용발생솔고우B조（P＜0.05）。결론：B조병인선용PCVA술，지속주입구연산분태니，유95％적병인체도료우량적진통효과，병차부작용발생솔흔저，시일충비교이상적술후진통요법。
Objective: Observing the effect of pain of the PCEA and PCVA easing and the rate of the side effect. Method:Divided into two groups (A and B , each 40 cases) randomly and relieved pain by the PCEA and PCVA using different anesthetic .A group used PCEA which used the drugs :morphine+bubicaine; B group used PCVA which used the drug:fentanyl. Comparing the effect and the side effect of easing pain between them. Result: Both the groups have good result of easing pain.The rate of choiceness has no significant difference.(P>0.05).The side effect of group A is much more than group B. There is significant difference in the statistic (p<0.05). Conclusion: In group B(PCVA) injected by fentanyl continually, about 95%patients have comfortable result of easing pain and have low side effect. It's a good method of easing pain after operating.