腹部术后自控静脉镇痛的应用与对胃肠功能的影响.pdfVIP

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2 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 时间明显快于对照组(PO．05)，但在60岁以上老年人的三者均无明显 差异(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 者无明显影响。 关键词：腹部 手术 自控静脉镇痛 胃肠功能 2 The ofPatient ApplicationControlledIntravenous andtheInfluenceon Analgesia Function afterAbdominal Operation Master candidate：GaoJun degree Xue Supervisor：Professor Zhangfeng Major：generalsurgery Abstract theeffectof function Objective：Toexploration gastricintestinal controlledintravenous afterabdominal recoverybypatient analgesia operation． Method：120 withabdominal inour patients operationhospital during 2008wereselected．Inthese casesweremale April2007一Janury cases，78 and42caseswere wereI8-8I an of female．，They yearsold，withaverage 49．74-5．6 oldand of themthere years weight average 53．2±6．5kg．Among were30caseswereabove60 an and 70．3±4．8 years，withaverageage of58．6士12．1 the were dividedinto averageweight kg．Allpatientsrandomly two con