目的：分析硬膜外自控镇痛（PCEA）和静脉自控镇痛（PCIA）用于开胸手术患者术后镇痛的效果。方法选取2012年4月至2013年1月收治的100例需行开胸手术患者，随机将这些患者分为两组，即 PCEA 组和 PCIA 组，%Objective To analyze the effect of epidural analgesia(PCEA)and intravenous analgesia(PCIA)for postoperative analgesia of thoracic surgery patients. Methods 100 cases of thoracic surgery patients who had been treated in our hospital from April 2012 to January 2013 were selected. They were randomly divided into two groups,namely patient - controlled epidural analgesia(PCEA group)and intravenous analge-sia group(PCIA group),50 cases in each group. Analgesic effect of two groups of patients were compared. Results The VAS score postoperative 2 h stationary state and the active state after 6 h,24 h of PCEA group were significantly lower than those of PCIA group. The Ramsay score postop-erative 24 h,48 h of was significantly lower than that of PCIA group. The occurance rates of lung infection,nausea and vomiting,wound infection, postoperative delirium were significantly lower than those of PCIA group. The postoperative hospital stay was shorter than that of PCEA group. The differences were statistically significant( P ﹤ 0. 05). Conclusion The effect of PCEA is better than PCIA for postoperative analgesia of thoracic surgery patients,so is worthy of promoting.
展开▼
