CAJ | 학술논문

目的总结探讨骨科患者术后留置硬膜外镇痛泵引起的不良反应及其处理.方法针对100例骨科手术患者术后留置硬膜外镇痛泵所出现的不良反应,进行细致观察、合理预防和及时处理.结果不良反应主要为恶心呕吐、腹胀、皮肤瘙痒、呼吸抑制以及嗜睡等,55岁以上患者的不良反应要显著高于30岁以下及30~50岁患者,之间差异存在显著统计学意义(P<0.05),患者的不良反应均经及时发现,及时给予对症处理或拔除镇痛泵后痊愈,无留下后遗症.结论考虑患者术后留置硬膜外镇痛泵,术前应评估患者的身体状况,对于体质差及年老者,尽量减少使用或不用镇痛泵.
목적총결탐토골과환자술후류치경막외진통빙인기적불량반응급기처리.방법침대100례골과수술환자술후류치경막외진통빙소출현적불량반응,진행세치관찰、합리예방화급시처리.결과불량반응주요위악심구토、복창、피부소양、호흡억제이급기수등,55세이상환자적불량반응요현저고우30세이하급30~50세환자,지간차이존재현저통계학의의(P<0.05),환자적불량반응균경급시발현,급시급여대증처리혹발제진통빙후전유,무류하후유증.결론고필환자술후류치경막외진통빙,술전응평고환자적신체상황,대우체질차급년로자,진량감소사용혹불용진통빙.
Objective To discuss and summarize the department of orthopedics patients postoperative indwelling epidural analgesia pump induced adverse reaction and its treatment. Methods 100 cases of Department of orthopedics operation in postoperative patients with indwelling epidural analgesia pump the adverse reaction, careful observation, reasonable prevention and timely treatment.Results The main side effects are nausea and vomiting, bloating, itchy skin, respiratory depression and lethargy, the adverse reactions of patients over the age of 55 to be significantly higher than the 30-year-old and 30~50 years old patients, the difference between the existence of significant statistical significance (P<0.05), patients with adverse reactions were confirmed by timely detection and timely given symptomatic treatment or analgesia pump removal healed without sequelae. Conclusion Patients consider postoperative indwelling epidural analgesia pump,the preoperative assessment of patients with physical condition, to poor health and old,minimize with or without the use of analgesia pump.