摘要
目的观察无线镇痛泵系统用于术后皮下患者自控镇痛(PCA)的临床效果。方法宫颈癌根治术后皮下PCA患者50例随机均分为两组,分别采用无线镇痛泵系统(A组)和常规电子镇痛泵(B组)。镇痛药:舒芬太尼5μg·kg^(-1)·d^(-1)+0.75%盐酸左布比卡因15ml+阿扎司琼20mg+生理盐水至150ml。镇痛参数:负荷量2~5ml、背景输注量1.8~2.2ml/h,PCA单次量2.3~3.0ml,锁定时间10min。分别于镇痛4、24和48h采用数字评分法评估术后疼痛,记录PCA按压次数。统计麻醉医师从接到信息到有针对性处理的时间;调查镇痛48h患者对镇痛的满意度。结果两组术后镇痛效果均较好。A组从接到信息到有效处理的时间为(9±5)min,短于B组的(16±4)min(P<0.05)。A组患者对术后镇痛的总体满意度为99%,高于B组的68%(P<0.05)。结论采用无线镇痛管理系统能有效管理镇痛泵,从而实现术后PCA信息化和个体化,显著提高镇痛效果。
Objective To evaluate the efficiency of wireless analgesia pump system（WAPS）in subcutaneous patient-controlled analgesia（PCA）.Methods The subcutaneous PCA was performed in50 cases after radical surgery for cervical cancer,who were equally randomized into two groups of A（using WAPS）and B（using conventional electronic analgesia pump）.Analgesic solution consisted of sufentanil 5μg·kg^（-1）·d^（-1）,0.75% bupivacaine 15 ml,azasetron 20 mg and normal saline 150 ml.Analgesic parameters were loading dose 2-5ml,background infusion 1.8-2.2ml/h,PCA bolus dose2.3-3.0ml,and lockout interval 10 minutes.Analgesia was evaluated by digital score,PCA times,and degree of satisfaction at 4,24 and 48hours after surgery.The time of from anesthesiologists receiving information to targeted treatment and overall degree of satisfaction were calculated.Results The analgesia outcomes of two groups were all satisfactory.The time from anesthesiologists receiving information to targeted treatment was shorter in group A than that in group B[（9±5）min vs.（16±4）min]（P〈0.05）.The overall degree of satisfaction was higher in group A than that in group B（99%vs.68%）（P〈0.05）.Conclusion The subcutaneous PCA can be managed effectively by WAPS,which is beneficial to realize the informatization and individualization in the management of PCA.
出处
《江苏医药》
CAS
2016年第5期565-566,共2页
Jiangsu Medical Journal
基金
南通市科技局社会事业科技创新与示范计划(HS12959/W201206)
关键词
无线镇痛泵系统
患者自控镇痛
Wireless analgesia pump system
Patient-controlled analgesia
