摘要
目的 研究病人自控镇痛 (PCA)用于上肢手术后镇痛的效果。方法 将上肢手术后病人 6 8例随机分成研究组 (A,n=34)与对照组 (B,n=34)。 A组于术毕病人回病房后将英国产 PCA泵接在连续臂丛神经阻滞之套管针上 ,并实施 PCA;B组则不施行 PCA。两组均记录术后 8h VAS评分和术后 4个时间段的 MAP、HR指标。结果 A组病人各时间段的 MAP、HR基本稳定 ,B组病人各时间段的指标波动较大 ,两组相比 P<0 .0 5。术后 8h A组 VAS多数 <5分 ,B组 >5分 ,全部不满意 ,两组相比 P<0 .0 5。结论 PCA用于上肢手术术后镇痛 ,方法简便 ,效果确切 。
Objective\ To investigate the effect and feasibility of PCA following the upper extremitys surgery.Method\ 68 cases undergoing the upperestremitys surgery were randomly divided into test group(A group,n=34)and control group(B group,n=34).PCA were used by connecting with the catheter in continued braehial plexus block following surgery in A group,but not used in B group.Both postoperative 8 hour VAS and the values of MAP,HR in four time phases following surgery were recorded.Results\ Compared with the values in B group,MAP,HR in every time phase were more stable in A group(P<0 05) Postoperative 8 hour VAS scores in B group were higher than 5 minates,but were contrary in A group(P<0 05) Conclusion\ PCA used in the patients of upper extremitys surgery is both simple and reliable.So it can come into wide use easily.
出处
《福建医药杂志》
CAS
2002年第4期14-15,共2页
Fujian Medical Journal
关键词
PCA
上肢手术术后
效果
镇痛
PCA\ Following the upper extremitys surgery\ Effect
