CAJ | 학술논문

目的探讨硬膜外持续镇痛与静脉持续镇痛方法用于开胸手术的镇痛效果和安全性.方法选择60例ASA Ⅰ～Ⅱ级行开胸手术的患者随机分为硬膜外镇痛组(EA)和静脉镇痛组(IA).记录两组患者术后4 h、12 h的镇痛评分、术后使用镇痛药物的情况、监测动脉血气的pH、PCO:和SpO2情况.结果应用硬膜外持续镇痛与静脉持续镇痛均可取得满息的镇痛效果,EA组患者安静与活动时的疼痛评分低于IA组(P＜0.05);术后动脉血气分析显示两组患者的pH、PCO2和SpO2差异无统计学意义.结论对于开胸手术,应用硬膜外持续镇痛与静脉持续镇痛均可取得满意的镇痛效果.硬膜外持续镇痛效果优于静脉持续镇痛,两种不同镇痛方式对术后患者酸碱平衡,PCO2和SpO2的影响无明显差异.
목적 탐토경막외지속진통여정맥지속진통방법용우개흉수술적진통효과화안전성.방법 선택60례ASA Ⅰ～Ⅱ급행개흉수술적환자수궤분위경막외진통조(EA)화정맥진통조(IA).기록량조환자술후4 h、12 h적진통평분、술후사용진통약물적정황、감측동맥혈기적pH、PCO:화SpO2정황.결과 응용경막외지속진통여정맥지속진통균가취득만식적진통효과,EA조환자안정여활동시적동통평분저우IA조(P＜0.05);술후동맥혈기분석현시량조환자적pH、PCO2화SpO2차이무통계학의의.결론 대우개흉수술,응용경막외지속진통여정맥지속진통균가취득만의적진통효과.경막외지속진통효과우우정맥지속진통,량충불동진통방식대술후환자산감평형,PCO2화SpO2적영향무명현차이.
Objective To explore the analgesic effect and safety of epidural and intravenous continuous analgesia on open-chest surgery patients.Methods 60 cases received ASA I～Ⅲ open-chest surgery were randomly divided into epidural analgesia(EA)group and intravenous analgesia(IA)group.The 4 h,12 h and postoperative pain score,use of drugs,and the PCO2 SpO2 and PH from monitoring of arterial blood gas were recorded.Results The application of epidural analgesia and intravenous continuous analgesia both obtained satisfactory analgesic effect.The pain scores in EA patients were lower than those in IA group at activities or quiet(P<0.05).Postoperative arterial blood gas analysis showed that there were no significant in terns of PCO2 SpO2 and pH between groups.Conclusions The application of epidural analgesia and intravenous continuous analgesia Can both obtain satisfactory analgesic effect among the patients with open-chest surgery.The analgesic effect of epidural continuous analgesia is better than that of intravenous continuous analgesia.There were no significant in terms of PCO2 SpO2 and pH between groups.