摘要
目的:观察硬膜外吗啡术后镇痛与静脉曲马多复合芬太尼术后镇痛这两种镇痛方式对骨科术后病人的恢复比较。方法:将6O例心功能(ASA)Ⅰ～Ⅱ级的骨科下肢手术病人随机分成A、B组,每组各30例。A组病人采用硬膜外持续微量注射镇痛泵(PCEA)泵入吗啡术后镇痛,B组病人采用静脉自控微量注射镇痛泵(PCIA)泵入曲马多复合芬太尼术后镇痛。观察并记录病人术后的疼痛情况、头痛头晕、恶心呕吐、术后排气、排尿时间以及意外脱管等。结果:两组间视觉模拟评分(VAS)头痛头晕、恶心呕吐总发生率、术后排气比较均无显著性差异,P>0.05。A组拔除尿管后的第一次排尿时间较B组短(P<0.05)。结论:静脉联合应用曲马多和芬太尼镇痛安全有效,有利于术后病人充分配合治疗和早期活动,促进早期康复,值得临床推广。
Objective: To observation and compare two analgese ways in patients's relover with orthopaedics after operation.Methods:Atotal of 60 cases patients with orthopedis law limbs in ASAⅠ～Ⅱwere randomly divided into A.B groups,every group has 30 cases.A group adopted PCEA to inject morphine, B group adopted PCIA to inject tramatol compound fentanyl.observation and record patients's pain after operation giday.vomit disgustingly.break wind after operation and the first urinate time or pull out tube and so on.Results: There wasn't signigficance diffevence among compared of VAS score probabilitied of giday and vomit disgustingly and break wind after operation (P>0.05)A group the first urinate time after pull out tube was shorter than B group.(P<0.05)Conclusion: It is safe and effective to use tramatol compoand fentanyl,and advantageous patients to cooperation care and early stage do excise.advance early rehabicitation.It is be worth to carry out on clinical.
出处
《护理实践与研究》
2005年第2期11-13,共3页
Nursing Practice and Research
