Postoperative patient-controlled analgesia of nursing technology.docVIP

 PAGE \* MERGEFORMAT 6 Postoperative patient-controlled analgesia of nursing technology [Keywords:] surgery, surgery, controlled analgesia, nursing PCA is in English “Patient Controlled Analgesia” abbreviation, the Chinese translated as “patient-controlled analgesia”. PCA technology is nearly 20 years of development of new pain technology, its greatest feature is the first attempt to allow patients to control their own pain. it will be the traditional one-time oral, intramuscular, and intravenous drug use conversion to low-dose, fractional giving, more objective and to meet the individual requirements for pain medicine, not only tend to improve analgesia, but not in time to overcome the traditional medicine , the slow onset, incomplete analgesia and side effects of distinctive features. so that patients can take the initiative to face the pain, so that fear of pain caused by a series of vicious cycle by inhibiting the body or discharge, not only to improve the mood of patients, while resistance to , anti-pain, enhance its ability to avoid clinically relevant complications, promote recovery of function of the body [1]. 1 postoperative pain Adverse effects on the patient’s pain is the number of surgical patients and almost all patients have problems, physical pain to the patient will have many adverse effects, postoperative complications and mortality are related to one of the factors . 1.1 cardiovascular system to sympathetic nerve pain, elevated blood catecholamines, heart rate, myocardial oxygen consumption increased, the adrenal cortex to secrete aldosterone, cortisol increased, and activation of the renin - angiotensin system, making systemic vasoconstriction, increased peripheral resistance, leading to postoperative blood pressure, tachycardia, and arrhythmia. 1.2 Respiratory effects of pain so that increased muscle tension, decreased lung compliance, decreased ventilation, making the patient oxygen, carbon dioxide accumulation, causing co