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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 observe the clinical effect of wireless analgesia pump system for postoperative subcutaneous patient controlled analgesia (PCA). Methods Fifty patients with subcutaneous PCA after radical operation of cervical cancer were randomly divided into two groups. Radio pain pump system (group A) and conventional electronic analgesia pump (group B) were used respectively. Analgesic: sufentanil 5μg · kg -1 d -1 + 0.75% levobupivacaine hydrochloride 15ml + atazan 20mg + saline to 150ml. Analgesic parameters: the load of 2 ~ 5ml, the background infusion of 1.8 ~ 2.2ml / h, PCA single amount of 2.3 ~ 3.0ml, lock time 10min. Postoperative pain was assessed by digital scoring at 4, 24, and 48 hours respectively, and the number of PCA compressions was recorded. Statistical anesthesiologist from receiving information to the targeted treatment time; analgesic pain in patients with analgesia 48h satisfaction. Results The postoperative analgesia effect was good in both groups. The time from receiving information to effective treatment in group A was (9 ± 5) min, shorter than that in group B (16 ± 4) min (P <0.05). The overall satisfaction with postoperative analgesia in group A was 99%, which was higher than 68% in group B (P <0.05). Conclusion The wireless analgesia management system can effectively manage the analgesia pump, in order to achieve postoperative PCA information and individualization, significantly improve the analgesic effect.