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〔目的〕对120例下腹手术患者术后疼痛治疗的二种给药方法硬膜外给药与静脉给药进行临床观察比较。〔方法〕将120例下腹手术患者随机分为两组,每组60例。一组为PCEA组,二组为PCIA组。在术后疼痛治疗的48小时～72小时内观察记录镇痛效果、用药量和副作用反应。〔结果〕两组病人均达到良好的术后止痛效果。PCIA组镇痛药用量明显多于PCEA组。PCIA组嗜睡、谵妄、呼吸抑制等不良反应多于PCEA组(P<0.05)。〔结论〕下腹手术术后疼痛治疗方法PCEA优于PCIA,镇痛药用量小,副作用少。
[Objective] To compare 120 cases of postoperative pain treatment in patients undergoing abdominal surgery with two kinds of administration methods of epidural administration and intravenous administration. [Methods] 120 cases of lower abdominal surgery patients were randomly divided into two groups, 60 cases in each group. One for the PCEA group and two for the PCIA group. In the postoperative pain treatment within 48 hours to 72 hours observed and recorded analgesic effect, dose and side effects. 〔Results〕 Both groups achieved good analgesic effect after operation. PCIA analgesic group was significantly more than PCEA group. PCIA group had more drowsiness, delirium, respiratory depression and other adverse reactions than PCEA group (P <0.05). 〔Conclusions〕 PCEA is superior to PCIA in the treatment of postoperative abdominal pain, with small dosage of analgesics and few side effects.