【摘要】 目的　探讨硬膜外自控镇痛 (PCEA)及静脉自控镇痛 (PCIA) 2种镇痛方式在骨科术后应用的效果、不良反应及护理特点。方法　将 2 80例硬膜外麻醉术后的骨科病人随机分为 2组 ,分别予PCEA及PCIA镇痛治疗。结果　①视觉模拟评分 (VAS)评估镇痛效果 :术毕 ,术后 6h、12h、2 4h及 4 8hVAS评分 ,2组间差异无显著性 (P >0 0 5 )。②不良反应 :PCEA组不良反应的发生率高于PCIA组 (P <0 0 5 )。结论　PCEA和PCIA用于骨科术后病人均可获得满意的镇痛效果 ,护理上各有其特点 ,临床工作中应分别对待更多还原

【Abstract】 Objective To explore the clinical effect,side-effect and nursing features of Patient-controlled Epidura Analgesia (PCEA) and Patient-controlled Intravenous Analgesia(PCIA) used on postoperative patients with skeletal disease Methods Divided 280 postoperative patients with skeletal disease into two groups randomly,and eased their pain respectively with PCEA and PCIA Results ①Visual Analog Scale(VAS) for evaluating effect:there was no significant difference between two groups during 48 hours patient-controlled analgesia( P >0 05) ②Occurring rate of side-effect of PCEA group was higher than that of PCIA group( P <0 05) Conclusion The effects of PCEA and PCIA are satisfied when they are used on postoperative patients with skeletal disease PCEA and PCIA have their own nursing feature and should be dealt with respectively更多还原