Comparison between the disposable postoperative local analgesia system and patient-controlled intravenous analgesia pump system in the analgesic efficacy and safety of conventional thoracotomy
10.3969/j.issn.1009-0754.2016.02.013
- VernacularTitle:一次性术后局部麻醉镇痛系统与静脉自控镇痛泵对常规开胸术后镇痛效果和安全性的比较
- Author:
Tao LIANG
1
;
Na LIU
;
Dongtao YIN
;
Bing HAN
;
Tengfei LIU
;
Mengqi MA
;
Daoxi WANG
Author Information
1. 解放军第二炮兵总医院胸外科
- Keywords:
Local analgesia;
Patient-controlled intravenous analgesia;
Dynamic analgesia effect;
Pethidine
- From:
Journal of Navy Medicine
2016;37(2):139-142
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the analgesic efficacy and safety of the disposable postoperative local analgesia system and patient-controlled intravenous analgesia pump system following conventional thoracotomy.Methods Eighty patients who received con-ventional thoracotomy in our hospital from June, 2013 to June, 2014 were enrolled for the study.The patients were randomly divided in-to the experimental group ( the disposable postoperative local analgesia system group) and the control group ( the patient-controlled in-travenous analgesia pump system group) , each consisting of 40 patents.Postoperative analgesic efficacy ( visual analogue scores and Prince-Henry scores) , pethidine cumulative dosages and the incidence of adverse drug reactions were compared between the 2 groups. Results (1) Severity of pain:there was no difference in the VAS scores at h 12, 24 and 48 after surgery, when comparisons were made between the 2 groups.However, the Prince-Henry scores of the experimental group(3.82 ±0.64,2.66 ±0.45,1.89 ±0.24) were lower than those of the control group(3.71 ±0.77,2.74 ±0.55,1.94 ±0.51).(2) The cumulative dosages of pethidine:the cu-mulative dosage of the experimental group(2.39 ±0.34,1.48 ±0.18,0.92 ±0.11) was lower than that of the control group(3.14 ± 0.42,2.74 ±0.33,1.58 ±0.21), there were statistical difference ushen comparisons were made between them(P<0.05).(3) Rates of atelectasis and respiratory failure, nausea, vomiting, dizziness and drowsiness of the experimental group were lower than those of the control group.Conclusion As compared with the patient-controlled intravenous analgesia pump, the disposable postoperative local an-algesia system could achieve more ideal dynamic analgesic effects, reduce the dosage of opioid drugs and the rate of adverse drug reac-tions.More importantly, it was a safer and more effective analgesic method.
