Clinical assessment of the effect of intravenous PCA and epidural PCA in postoperative analgesia
- VernacularTitle:静脉和硬膜外PCA用于术后镇痛的效果评估
- Author:
Xiaoli ZHANG
;
Dongping DU
;
Huifang XU
- Publication Type:Journal Article
- Keywords:
Pain, postoperative Analgesia, patient controlled Morphine Infusions, intravenous Injections, epidural
- From:
Chinese Journal of Anesthesiology
1994;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
To compare the clinical effect and side-effect of intravenous PCA(PCIA) with epidural PCA (PCEA). Method: One hundred and eighty postoperative patients, who were randomly divided into three groups: group PCIA, group PCEA and control, were observed for 3 days after operation. Result: Overall patients in two PCA groups were satisfied with the postoperative analgesia. The incidence of urinary retention in group PCIA were significantly lower than that in group PCEA (P0.05). 10% in group PCIA were in medium sedation whereas no eases in group PCEA were in sedation. At 6th hour after operation,serum cortisol level of control patients was much higher than that of PCA patients. Conclusion=Both PCIA and PCEA have excellent analgesia and reduce stress response after operation. PClA has lower incidence of urinary retention and is performed easily,but inhibits gastrointestinal motility much more and has higher sedative incidence compared with PCEA.
