临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
2014年
12期
1029-1031
,共3页
开胸手术%硬膜外自控镇痛%静脉自控镇痛%术后镇痛%效果
開胸手術%硬膜外自控鎮痛%靜脈自控鎮痛%術後鎮痛%效果
개흉수술%경막외자공진통%정맥자공진통%술후진통%효과
Thoracic surgery%Epidural analgesia%Intravenous analgesia%Analgesia%Effect
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，
目的：分析硬膜外自控鎮痛（PCEA）和靜脈自控鎮痛（PCIA）用于開胸手術患者術後鎮痛的效果。方法選取2012年4月至2013年1月收治的100例需行開胸手術患者，隨機將這些患者分為兩組，即 PCEA 組和 PCIA 組，
목적：분석경막외자공진통（PCEA）화정맥자공진통（PCIA）용우개흉수술환자술후진통적효과。방법선취2012년4월지2013년1월수치적100례수행개흉수술환자，수궤장저사환자분위량조，즉 PCEA 조화 PCIA 조，
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 analge-sia 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 postop-erative 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.
