骨科术后自控镇痛的应用及护理

目的:探讨骨科患者术后自控镇痛(PCA)的临床应用及护理。方法:选取2009年1月～2010年1月我科手术治疗的下肢骨科手术患者80例,术后分别采用自控静脉镇痛(PCIA组)40例、采用自控硬膜外镇痛(PCEA组)40例,对比两组患者术后镇痛效果、不良反应发生情况,总结护理措施。结果:PCIA组镇痛总有效率为95%,PCEA组总有效率为85%,组间比较差异有统计学意义(P<0.05),可能与个体差异有关。PCIA组尿潴留发生率仅有2例(5%),明显低于PCEA组20例(50%)。结论:PCIA用于骨科术后镇痛效果确切,管理方便,不良反应发生率较PCEA低,值得推广应用。

Application and nursing of patient controlled analgesia for patients underwent orthopedic surgeries

Objective: To discuss the clinical application and nursing of Patient Controlled Analgesia(PCA) for patients underwent orthopedic surgeries.Methods: Eighty(80) patients admitted to our department from January 2009 to January 2010 for lower limb orthoepic surgeries were erolled.Forty(40) of them adopted Patient Controlled Intravenous Analgesia(PCIA) while the others(n=40) used Patient Controlled Epidural Analgesia(PCEA).Analgesic effects,occurrences of adverse reaction of two groups were observed for comparison.And nursing interventions were summed up.Results: The total effective rates for PCIA group and PCEA group were 95% and 85% respectively.The difference has statistical significance,which might be related with individual difference(P<0.05).The occurrence rate of urine retention for PCIA group was only 5%(n=2),which is remarkably lower than that of PCEA group(50%,n=20),P<0.05.Conclusions: PCIA has definite effects and is convenient for management in orthoepic postoperative analgesia.It has a lower occurrence rate of adverse reaction than PCEA.Thus,it is worthy of clinical application.