【摘要】 目的 :探讨术后病人硬膜外自控镇痛 (PCEA)的护理观察要点。方法 :观察 40例PCEA(P)组和 40例肌注 (M)组病人的镇痛、镇静效应、副作用 ,观察PCEA对血压、心率及呼吸频率的影响。结果 :(1 )PCEA镇痛效果优于传统肌注组 (P <0 0 5) ;(2 )P组 93 %病人Ramsay氏分级维持在Ⅱ级。镇静效果较M组好 (P <0 0 5) ;(3)副作用 :P组恶心、呕吐的发生比M组低 (P <0 0 5) ,两组皮肤搔痒 ,呼吸抑制的发生无差异 ;(4)PCEA对血压、心率、呼吸频率无明显影响。结论 :PCEA镇痛、镇静效果好 ,较安全 ,护理中要注意观察副作用更多还原

【Abstract】 Objectives To explore the nursing observation of the postoperative patient controlled epidural analgesia (PCEA) Methods We observed the effect and the side effect of analgesia and sedation in 40 cases of PCEA group and in 40 cases of muscular injection (M) group as well as changes of blood pressure, heart rate and respiratory frequency in PCEA group Result (1)Analgesic effect was significatly better in PCEA group than in M group P <0 05;(2)Sedative effect was significatly better in PCEA group than in M group 93% patients in PCEA group maintained grade Ⅱ of Ramsay’s classification; (3)Side effect: the incidence of nausea and vomiting in PCEA group was lower than that in M group ( P <0 05),while the incidences of pruritus and respiratory depression were similar in two groups;(4) The blood pressure, heart rate and respiratory frequency were not changed in PCEA group Conclusion The effects of analgesia, sedation were fine in PCEA PCEA is secure It is nessessary to observe the side effect in nursing更多还原