Abstract
Objective To evaluate the clinical efficacy and side effects of adult Patient Controlled Analgesia (PCA) after elderly abdominal surgery. Methods 100 cases of upper abdominal surgery, which were divided into older age-group and adult group, were analyzed retrospectively according to the different analgesics. Each group hospitalization was further divided into morphine group and the fentanyl group according to single and double mantissa. The total analgesic dosage, analgesic and sedative effects and adverse reactions were observed. Results There is no significant difference in analgesic drugs and analgesic effect between two group (P>0.05). Sedative effect of morphine in older age-group is higher than that of the fentanyl group (P<0.05); Morphine group of older age-group was higher than that of adult group. The differences were statistically significant (P<0.01); Adverse reactions in older age-group group was higher than that of adult group with the significant difference (P<0.01). Conclusions 0.2% ropivacaine combined with fentanyl or morphine could be safely and effectively used for postoperative PCA after elderly abdominal surgery. Key words: Aged people; Patient Controlled Analgesia (PCA); Effects
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