【摘要】 [目的 ]寻找妇科病人手术镇痛的最佳方法 ,减少妇科手术后病人的并发症。 [方法 ]将妇科开腹手术病人 10 0例 ,随机分为对照组和实验组各 5 0例 ,对照组在硬膜外麻醉手术后带硬膜外穿刺管入病房维持 48h ,实验组手术后给予曲马多静脉输注并维持 2 4h ,并根据病人的疼痛感调节滴数。运用“0～ 10”疼痛量表对病人术后 12h、2 4h、48h进行镇痛效果评估 ,同时记录镇痛后尿潴留、恶心呕吐、呼吸抑制等并发症的发生率。 [结果 ]两组病人术后镇痛效果无统计学意义。但实验组副反应发生率明显少于对照组。 [结论 ]妇科术后病人运用静脉输注曲马多镇痛效果与PCEA法相似 ,但并发症明显减少 ,有利于术后病人的早期康复更多还原

【Abstract】 Objective: to explore the best way of analgesia for post-operative patients in gynecology department, to reduce the post-operative complications for them. Method: a total of 100 cases accepted abdomen operation were selected and divided into test and control group randomly (50 cases each). Patients of control group were kept the epidural anesthesia catheter to maintain for 48 h after operation and auto-controlled analgesic pump was applied. Patients of test group just given Tramadol intravenously infusion for 24 h after operation and infusion speed was adjusted based on patient’s pain complain. The analgesia effect of the two groups patients were evaluated via "0～10" Pain Scale. The incidence of post-analgesia complications as urine retention, nausea and vomiting, and respiration suppression of the two group patients were recorded. Results: in terms of post-operative analgesia effect, there was no statistical significant difference between the two groups. However, the occurrence of postoperative complications of test group patients was far less than that of control group. Conclusion: it has the similar analgesic effect in postoperative gynecologic patients to give Tramadol intravenously infusion compared to applying auto-controlled analgesic pump. However, it has less postoperative complications which is benefitial to the early stage recovery of postoperative patients.更多还原