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ID:31954205
大小:4.72 MB
页数:24页
时间:2019-01-29
《腹部术后自控静脉镇痛的应用与对胃肠功能的影响》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、48例,尚可9例,无效3例;而对照组的满意度则分别为优33例,尚可21例,无效6例,两组比较有显著差异(P<0.05)。PCIA组发生不良反应者9例次,对照组发生不良反应者26例次,两组不良反应发生率以对照组高(P<0.05)。PCIA组肠鸣音恢复时间、恢复排气和排便的时间明显快于对照组(P0.05)。结论:1、PCIA在腹部手术术后的镇痛效果明显优于肌肉注射镇痛,2、PCIA术后镇痛可以促进胃肠功能的早期恢复,但对60岁以上患者无明显影
2、响。关键词:腹部手术自控静脉镇痛胃肠功能2TheApplicationofPatientControlledIntravenousAnalgesiaandtheInfluenceonGastrointestinalFunctionafterAbdominalOperationMasterdegreecandidate:GaoJunSupervisor:ProfessorZhangXuefengMajor:generalsurgeryAbstractObjective:Toexplorationt
3、heeffectofgastricintestinalfunctionrecoverybypatientcontrolledintravenousanalgesiaafterabdominaloperation.Method:120patientswithabdominaloperationinourhospitalduringApril2007一Janury2008wereselected.Inthesecases,78casesweremaleand42caseswerefemale.,Th
4、eywereI8-8Iyearsold,withanaverageof49.74-5.6yearsoldandaverageweightof53.2±6.5kg.Amongthemtherewere30caseswereabove60years,withanaverageage70.3±4.8andaverageweightof58.6士12.1kg.Allthepatientswererandomlydividedintotwogroups:theexperimentalgroupadopte
5、dpatientcontrolledintravenousanalgesia(PCIA)(60CaSeS),thecontrolgroupadoptedmuscleinjectionof’analgesicatcertaininterval.Thevarietyofoperationconsistedofepigastriumoperationandhypogastriezoneoperation.Amongthem,therewere34casesofoperationinstomachint
6、estine,4casesofoperationinpancreasandduodenum,16casesofoperationinsmallintestine,4casesofoperationinliver,28casesofoperationinbiliarytractand8casesofoperationinspleen.Therewere12casesofoperationincolon,14casesofoperationinrectumofhypogastriczoneandpe
7、lviccavity.Anesthesiamethod:Allthepatientswereinjectedagrypnal0.1g.atorpinO.5mgbeforetheoperation,whohadnothehistoryoflong—termapplicationanalgesics.AIlofthemappliedtotrachealintubationandveincombinedanesthesia.practicaldrugsofanesthesiainductionwere
8、consistedofFentanyl5弘g/kg,vecuroniumbromide0.1mg/kg,midazolamO.1g/kg,andpropofol2mg/kg.Thefullmaskoxygenandairchaneweregivenforendotraeheal3intubation,thentheOHMEDA210anesthesiamachinecontroledtherespiratory,andanesthesiamaintainedbygivingdiscontinuo
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