植入式药泵联合自控镇痛系统治疗癌痛25例观察  

Implanted drug therapy pump with patient- controlled analgesia system for cancer pain in 25 patients

作　　者：李永瑾 刘军[1] 陈卓明[1] 沙瑾[1] 徐伟英[1] 何萍[1] 

机构地区：[1]广西玉林市红十字会医院麻醉科,537000

出　　处：《实用疼痛学杂志》2006年第3期153-154,共2页Pain Clinic Journal

摘　　要：目的探讨植入式药泵联合自控镇痛系统用于癌痛治疗的可行性。方法选择相应的硬膜外间隙穿刺置管,皮下植入药泵,经皮连接自控镇痛系统,持续注入吗啡布比卡因复合止痛液。结果25例癌痛患者镇痛效果均为显效,其中19例为A级,6例为B级的效果,未见明显呼吸抑制、尿潴留及呕吐等副作用,无硬膜外间隙感染。结论植入式药泵联合自控镇痛系统治疗癌痛是一种安全、有效的治疗癌痛的方法。Objective To study the implanted drug therapy pump with patient-controlled analgesia system for cancer pain control. Methods 25 patients with cancer pain were implanted drug therapy pump through epidural space. The pump was connected to patient-controlled analgesia system, morphine and bupivacaine mixture were infused continuously. Results Good effects were achieved in all 25 cases, of which 19 cases were degree A, 6 cases degree B. There were no side-effects such as respiratory depression, retention of urine, vomiting and epidural space infection. Conclusion It is an effective and safe method to treat cancer pain by implanted drug therapy pump with patient-controlled analgesia system.

关 键 词：输注泵 植入型 化学疗法 镇痛 患者控制疼痛 肿瘤 

分 类 号：R730.5[医药卫生—肿瘤]