术后患者不同镇痛方法效果的观察及临床护理

目的：观察术后患不同自控镇痛方法的效果,总结护理经验。方法：将９０例患随机分为３组,Ａ组肌肉注射杜冷丁５０ｍｇ,每６ｈ给药１次;Ｂ组静脉给予吗啡６０～１００ｍｇ加氟哌啶５ｍｇ加０．９％ＮＳ至１００ｍｌ;Ｃ组硬膜外给予吗啡５ｍｇ加氟哌啶５ｍｇ加０．５％布比卡因２５ｍｌ加０．９％ＮＳ至１００ｍｌ。Ｂ、Ｃ组采用ＰＣＡ砂装置。结果：肌注给药镇痛效果差,镇静度高。ＰＣＡ治疗期ＶＡＰＳ评分均在５分以下,镇

Observation and clinical nursing about different patient-controlled analgesia after operation,

Objective:Observate result of different patient-controlled analgesia Method:90 cases were randomly divided into 3 groups A:intramuscular injection ofDolantin 50mg,q6h,B:60mg morphine iv 5mg haloperitol 0 9%NS in 100ml C:5mg rnorphine haloperitol 5mg 0 5% bubicarnice 25ml 0 9% NS in 100ml,epidural injection B,C through PCA pump Result:Intramuscular path has poor analgesia result,but better sedative,epidural and intraveinous group have no significant difference,no complication Conclusion:PCA is an effective analgesic method,intraveinous or epidural path can reduce dosage and side effects,improve analgesic result