摘要
目的 研究腹部手术后使用硬膜外自控镇痛泵 (PCA泵 )的护理措施。方法 随机选择腹部手术病人 172例 ,其中 10 8例术后使用了PCA泵为研究组 ,6 4例未用者为对照组 ,于术后 3d内进行观察其镇痛效果、情绪反应及副作用的发生情况。结果 研究组术后疼痛减轻 ,甚至无疼痛的感觉 ,疼痛反应用VAS评价 ,与对照组比较差异有显著意义 (P <0 0 0 1) ;情绪反应较为满意 ,与对照组比较差异有显著意义 (P <0 0 0 1) ;研究组恶心呕吐、皮肤瘙痒、尿潴留发生率较对照组高 (P <0 0 5 ) ,而腹胀发生率较对照组低 (P <0 0 5 ) ,嗜睡、抑制呼吸两组比较差异无显著意义 (P >0 0 5 )。结论 术后使用硬膜外PCA泵镇痛效果良好 ,但有一定的副作用。护理人员应经常巡视 ,有针对性的进行护理。
Objective To observe the effects and side-effects of using PCA after operation on abdoman as a nursing measures.Methods 172 cases who were operated on abdoman were randomly chosed,108 cases of them were applied PCA,and the others who did not use PCA were regarded as the control group.The analigesic effects,emotional reactions and side-effects three days after operations were observed.Results The pain of the research group was decreased and even the cases did not feel pain.The painful reactions were assessed by VAS.There were apparent differences between two groups(P<0.001).The emotional reactions were satisfied.The rates of the omit,skin itch and retention of urine in the research group were higher than those in the control group(P<0.05).The rate of abdominal distention was lower than that in the control group.There was no obvious difference in sommdence and breath suppression between two groups.Conclusion The effects of using PCA after operation are good,and it is beneficial to patients' recovery,but it has certain side-effects.The nurses should closely observe the changes of illness and take corresponding nursing.
出处
《中国基层医药》
CAS
2002年第10期903-904,共2页
Chinese Journal of Primary Medicine and Pharmacy
