A comparison of patient controlled epidural analgesia (PCEA) and intravenous analgesia (PCIA) for postoperative lung cancer

Objective To compare the efficacy and complication of controlled epidural analgesia (PCEA)and intravenous analgesia (PCIA) for postoperative of lung cancer. Methods The patients(ASAⅡ-Ⅲ stage) were randomly divided into two groups, in PCEA(A) group,(n=35),patient received 0.01% morphine,0.15% babivacaine; In PCIA (B) group, 0.05% Morphine + 0.01% Babivacaine. In both groups, we observed the postoperative analgesia grade, the total analgesia satisfaction, sedation grade, efficiency of breath and complication. Results The effect in PCEA group was better than that PCIA group (P0.05). In PCEA group,the patients breathed rhythmically and no changes of MV and Spo2 were observed.In PCIA group,the level of MV and SPO2 decreased obviously.It recovered to normal after oxygen-treatment.The complications of sickness, vomiting, nausea, itch and sleepy were higher in PCIA group than that in PCEA group (P0.05). Conclusion The efficiency of PCEA in lung cancer postoperation is satisfactory.It can improve respiratory function and recovery quality of postoperation,which is more suitable for post-thoracotomy analgesia.