足趾移植再造手指术后留置PCA泵镇痛效果观察及护理干预  

Observation and Nursing Intervention of Postoperative Analgesic Effect of Indwelling PCA Pump in Finger Reconstruction by Toe Transplantation

作　　者：江雪燕 陈瑶 杨莉莉 万花平 张须娜 

机构地区：[1]深圳市龙岗区骨科医院,广东深圳518116

出　　处：《临床医学工程》2017年第2期257-258,共2页Clinical Medicine & Engineering

基　　金：深圳市龙岗区科技计划医疗卫生(扶持类)项目"拇手指再造术后应用静脉自控镇痛的临床研究"(201505153001011)

摘　　要：目的探讨足趾移植再造手指术后留置自控镇痛(PCA)泵镇痛的效果及护理干预。方法选取行足趾移植再造手指的手指缺损患者80例作为研究对象,随机分为两组各40例。对照组患者给予常规镇痛及护理干预,观察组患者术后给予一次性自控镇痛泵进行镇痛及循证护理,观察比较两组患者的术后镇痛效果、再造指的成功率、血管危象的发生率以及患者满意度。结果观察组患者的镇痛效果明显优于对照组,血管危象发生率明显低于对照组,满意度明显高于对照组,差异均有统计学意义(P<0.05)。结论对足趾移植再造手指患者实施PCA泵镇痛和循证护理,能减少血管危象发生率,提高手术成功率和满意度。Objective To study the analgesic effect of indwelling patient-controlled analgesia （PCA） pump and the nursing intervention after finger reconstruction by toe transplantation. Methods 80 cases of finger defect patients with finger reconstruction by toe transplantation were selected as research objects, and randomly divided into two groups, with 40 cases in each group. The control group received regular analgesia and nursing intervention, while the observation group received PCA pump for analgesia and evidence-based nursing. The postoperative analgesia effect, success rate of reconstructed finger, incidence of vascular crisis and patients＇ satisfaction degree were observed and compared between two groups. Results The postoperative analgesia effect of observation group was significantly better than that of control group （P 〈0.05）. The incidence of vascular crisis of observation group was significantly lower than that of control group, and the patients＇ satisfaction degree was significantly higher than that of control group （both P 〈0.05）. Conclusions The application of PCA pump for analgesia and evidence-based nursing for patients with finger reconstruction by toe transplantation can reduce the incidence of vascular crisis, and improve the success rate of reconstructed finger and patients＇ satisfaction degree.

关 键 词：足趾移植 再造手指术 PCA泵 镇痛 护理干预 

分 类 号：R473.6[医药卫生—护理学]