CAJ | 학술논문

目的：探讨硬膜外自控镇痛对老年胸部手术患者术后并发症的影响。方法将本院2011年2月～2013年8月收治的80例胸部手术的老年患者分为对照组和观察组，每组各40例，对照组术后患者出现疼痛时采用哌替啶单次肌内注射，观察组患者在患者清醒后给予硬膜外自控镇痛。观察两组患者的VAS评分和术后并发症的发生率。结果观察组患者术后2、6、10及14h时的VAS评分均低于对照组，两组间比较差异有统计学意义（P＜0.05）；观察组患者术后并发症的发生率为7.5%，明显低于对照组的27.5%，两组间比较，差异有统计学意义（P＜0.05）。结论硬膜外自控镇痛对老年胸部手术患者术后镇痛效果明显，可降低术后并发症的发生率。
목적：탐토경막외자공진통대노년흉부수술환자술후병발증적영향。방법장본원2011년2월～2013년8월수치적80례흉부수술적노년환자분위대조조화관찰조，매조각40례，대조조술후환자출현동통시채용고체정단차기내주사，관찰조환자재환자청성후급여경막외자공진통。관찰량조환자적VAS평분화술후병발증적발생솔。결과관찰조환자술후2、6、10급14h시적VAS평분균저우대조조，량조간비교차이유통계학의의（P＜0.05）；관찰조환자술후병발증적발생솔위7.5%，명현저우대조조적27.5%，량조간비교，차이유통계학의의（P＜0.05）。결론경막외자공진통대노년흉부수술환자술후진통효과명현，가강저술후병발증적발생솔。
Objective To explore the impact of patient-controlled epidural analgesia on postoperative complications in elderly patients with thoracic surgery. Methods 80 elderly patients with thoracic surgery were treated in our hospital during February 2011 to August 2013, who were divided into the control group and the observation group, each group had 40 cases. The patients of the control group were given pethidine single intramuscular injection when the patients happened pain after the surgery, while the patients of the observation group were given patient-controlled epidural analgesia after sober. The VAS score and incidence of postoperative complications of patients in the two groups were observed. Results The VAS scores at 2h, 6h, 10h and 14h after the surgery of patients in the observation group were lower than those in the control group, the differences were statistically significant between the two groups (P<0.05).The incidence of postoperative complications in the observation group was 7.5%, which was significantly lower than that in the control group(27.5%), the difference was statistically significant between the two groups(P < 0.05). Conclusion Patient-controlled epidural analgesia on postoperative analgesia in elderly patients with thoracic surgery has obvious effect, and can reduce the incidence of postoperative complications.