无线镇痛泵系统在术后镇痛中的临床应用  

Clinical application of wireless analgesic pump system postoperative analgesia

作　　者：吕文艳[1] 王靖宇[1] 徐文强[1] 张曙报 蒋仙红 金孝梁[1] 

机构地区：[1]解放军117医院麻醉科,浙江杭州310004

出　　处：《东南国防医药》2014年第3期281-283,共3页Military Medical Journal of Southeast China

摘　　要：目的比较无线镇痛泵系统与传统镇痛泵的镇痛效果及不良反应。方法某院2013年4-11月采用无线镇痛泵系统于术后镇痛595例(W组),与2012年11月-2013年3月采用传统镇痛泵用于术后镇痛608例(C组)对比,观察术后2 h、6 h、12 h、24 h、48 h患者疼痛强度、处理时间、治疗满意度及不良反应。结果两组患者的一般情况比较差异无统计学意义(P>0.05)。术后2 h、24 h、48 h两组间疼痛强度比较差异无统计学意义(P>0.05),W组患者6 h、12 h疼痛强度低于C组,两组间比较差异有统计学意义(P<0.01)。疼痛的处理时间两组间比较差异有统计学意义(P<0.01)。经静脉患者自控镇痛(PCIA)过程中头晕、恶心呕吐的发生率两组间比较差异无统计学意义(P>0.05)。W组患者的总体满意度高于C组(P<0.01)。结论与传统镇痛泵比较,无线镇痛泵系统能缩短疼痛有效处理时间,显著提高PCIA 48 h内患者的总体满意度,在术后镇痛中具有明显的优越性。Objective To compare the analgesia effects and side effects of using wireless analgesic pump and traditional anal -gesic pump.Methods Our hospital used wireless analgesic pump to ease pain in 595 cases after operation from April to November in 2013 year and used traditional analgesic pump to ease pain after operation in 608 cases from November in 2012 year to March in 2013 year,clinical observation of postoperative patient’s pain intensity,processing time,treatment satisfaction and side effects were compared between two groups.Results There was no significant difference comparatively between above mentioned two groups （P〉0.05）. There was no significant difference comparatively in pain intensity after operation 2 h,24 h,48 h between two groups （P〉0.05）.W group’s pain intensity was lower than C group after operation 6 h and 12 h.The comparative difference had statistical sense （P〈0.01）. The comparative difference about processing pain time had statistical sense （P〈0.01）.There was no significant difference compara-tively about lightheaded,nausea and vomiting during PICA between two groups （P〉0.05）.W group’s degree of satisfaction was higher than C group.The comparative difference had statistical sense （P〈0.01）.Conclusion Compared with traditional analgesic pump , wireless analgesic pump system shortened the time from receiving algetic information to effective treatment ,and improved the patients’general evaluation for 48 hours’PCIA treatment .In general ,it had obvious superiority in the postoperative analgesia .

关 键 词：镇痛泵 无线系统 术后镇痛 质量 

分 类 号：R971.2[医药卫生—药品]