Epidural analgesia after abdominal surgery and nursing.docVIP

 PAGE \* MERGEFORMAT 8 Epidural analgesia after abdominal surgery and nursing Of: Xiao-Feng Song, Ma Yong, Zhang Shu-ping, ZHAO [Keywords:] abdominal surgery, analgesia pumps, nursing Controlled epidural analgesia (patient controlled epidural analgesia.PCEA means that when the patient feels pain in patients with autonomous control by the pain medication will be injected through the epidural analgesia pump to achieve analgesia means to an end. Our hospital since 1998 March from abdominal pain after surgery were treated with PCEA, and achieved good results, are reported below. 1 Clinical data 1.1 General Information undergoing abdominal surgery with epidural block 469 cases, 297 cases were male, female 172 cases, aged 24 to 52 years, mean 38.7 years. ASA Ⅰ ~ Ⅱ grade. Analgesia were randomly divided into PCEA group (263 cases and the control group (206 cases. the two groups were generally similar, age, sex, weight, and no significant difference in operation time. 1.2 Methods surgery control group after the removal of the epidural catheter, analgesia given intramuscular pethidine hydrochloride, PCEA group and the epidural catheter connected properly fixed analgesia pump, with 0.125% bupivacaine hydrochloride and 1% for pyridine mixture, PCEA pump settings: a loading dose of 4ml, background dose of 3ml / h, PCEA volume of 2ml /, lockout time 20min. analgesia end of 72h after extubation. 1.3 Evaluation of analgesic satisfaction scores using a linear visual analog pain score (VAS, marked at both ends of the scale from 0 to 10 to 0 for no pain, 10 being severe pain, understanding pain scores were divided into two very .0 3 satisfaction, general satisfaction is divided into 4 to 6, 7 to 10 were divided into satisfactory. Calm state of 1.4 were recorded VAS score (R VAS VAS score and activities of state (M VAS, patients were observed respiration, blood pressure, exhaust time and the incidence of nausea and vomiting. VAS score of 1.5 with u stat