晚期癌痛患者应用静脉自控镇痛效果的研究  

Study on the analgesic effects of intravenous self-controlled analgesia in patients with advanced cancerous pain

作　　者：谷培栋 GU Peidong(Department of Emergency Surgery, Ningjin County Hospital for Maternal and Child Health,Hebei,Ningjin 055550,China)

机构地区：[1]河北省宁晋县妇幼保健院急诊外科

出　　处：《河北医药》2020年第3期441-443,447,共4页Hebei Medical Journal

摘　　要：目的探讨吗啡静脉自控镇痛措施,在中晚期恶性癌痛居家患者中应用效果及对生活质量的改善影响。方法选取2017年5月至2018年11月收治的56例有中重度疼痛的晚期癌痛患者,采用吗啡静脉自控镇痛方法进行治疗。结果镇痛效果优良率达87.5%,NRS评分由治疗前平均9.02分降至平均3.21分,效果好,不良反应少,使用方便。结论居家癌痛患者采用吗啡静脉自控镇痛,是一种安全、方便、及时、效果好的止痛措施,能够明显减轻患者的疼痛,减少癌痛并发症,明显提高患者生活质量。Objective To investigate the the analgesic effects of morphine intravenous controlled analgesia(PCIA)intravenous self-controlled analgesia in patients with middle or late stage of cancerous pain,and its effects in improving life quality of patients.Methods A total of 56 patients with middle or late stage of cancerous pain were enrolled in the study,who were treated by PCIA.Results The fine/excellent rate of analgesic effects reached 87.5%,and the NRS scores decreased from 9.02 points before treatment to 3.21 points after treatment,which had obvious effects,fewer side effects and was convenient to use.Conclusion The application of morphine intravenous control analgesia in patients living at home with cancerous pain is a safe,convenient,timely and effective analgesic measure,which can significantly relieve the pain and complications of cancerous pain,and improve the life quality of patients.

关 键 词：静脉自控镇痛 中晚期癌痛 居家 吗啡 治疗结果 

分 类 号：R971.1[医药卫生—药品]