创伤骨科术后自控镇痛效果观察与护理

[目的]探讨创伤骨科术后镇痛的有效方法,观察自控硬膜外镇痛(PCEA)的镇痛效果.[方法]80例创伤骨折手术病人随机分为观察组和对照组,各40例,观察组采用PCEA进行术后止痛,对照组必要时给予哌替啶、曲马朵等镇痛剂止痛.观察并比较两组病人术后镇痛效果、并发症(腹胀、恶心呕吐、皮肤瘙痒、尿潴留等)情况.[结果]观察组病人镇痛效果明显高于对照组(P<0.01),两组病人术后发生皮肤瘙痒、恶心呕吐、尿潴留等均无明显差异.[结论]创伤骨科术后病人应用病人自拉硬膜外镇痛效果明显.

Observation and nursing care of postoperative patients accepting self-control analgesia after traumatic orthopedic operation

Objective:To probe into the effective method of postoperative analgesia in traumatic orthopedic department, and to observe the effect of PCEA. Methods: A total of 80 traumatic fracture patients undergoing operation were divided into test and control group randomly 40 cases each. PCEA was applied as postoperative analgesia for test group cases. And patients of control group were given pethidine and tramadol for analgesia. Postoperative analgesia effect and complications (abdominal distension, nausea and vomiting, itch of skin, urine retention and so on) of both group cases were observed and compared with each other. Results: The analgesia effect of test group cases was much better than that of control group cases (P<0.01). There was no statistical significant difference in terms of complications such as itch of skin, nausea and vomiting and urine retention between both group cases. Conclusion: To apply PCEA for traumatic orthopedic patients undergoing operation could gain remarkable analgesia effect.