摘要
目的研究自控镇痛(PCA)访视在全麻患者腹部手术后疼痛控制中的应用效果。方法选择本院120例全麻腹部手术患者为研究对象,随机将其分为对照组和观察组,各60例。对照组给予常规围术期访视,观察组在对照组基础上给予PCA访视。比较两组的镇痛效果、PCA使用后的临床指标及PCA使用过程中的不良反应发生率。结果观察组的镇痛效果优良率明显高于对照组(P<0.05)。观察组的VAS评分低于对照组,PCA知识了解程度评分高于对照组,镇痛药物使用剂量多于对照组(P<0.05)。两组的恶心呕吐、呼吸抑制、头晕、尿潴留发生率无显著差异(P>0.05)。结论PCA访视应用于全麻患者腹部手术后疼痛控制中能够明显提高镇痛效果,增加患者对PCA知识的了解程度,降低VAS评分,且安全性好,值得在临床中进行推广。
Objective To study the application effect of patient controlled analgesia(PCA)visit on pain control of patients after abdominal surgery under general anesthesia.Methods A total of 120 patients with abdominal surgery under general anesthesia in our hospital were selected as the study objects and randomly divided into control group and observation group,with 60 cases in each group.The control group was given routine perioperative visit,while the observation group was given PCA visit on the basis of the control group.The analgesic effect,clinical indexes after PCA use and the incidence of adverse reactions during PCA use were compared between the two groups.Results The excellent and good rate of analgesia effect in the observation group was significantly higher than that in the control group(P<0.05).The VAS score of the observation group was lower than that of the control group,the PCA knowledge degree score was higher than that of the control group,and the dosage of analgesic drugs was more than that of the control group(P<0.05).There were no significant differences in the incidences of nausea and vomiting,respiratory depression,dizziness and urinary retention between the two groups(P>0.05).Conclusion PCA visit applied to pain control of patients after abdominal surgery under general anesthesia can significantly improve the analgesic effect,increase the patients'understanding degree of PCA knowledge,reduce the VAS score,with good safety,which is worthy of clinical promotion.
作者
彭博
PENG Bo(Anesthesiology Department,Shangluo Central Hospital,Shangluo 726000,China)
出处
《临床医学研究与实践》
2020年第27期182-184,共3页
Clinical Research and Practice
关键词
自控镇痛泵
访视
全麻
腹部手术
疼痛控制
patient controlled analgesia pump
visit
general anesthesia
abdominal surgery
pain control
