术后患者自控镇痛:北京协和医院30年临床管理经验

Postoperative Patient⁃controlled Analgesia:Thirty Years of Clinical Experience in Peking Union Medical College Hospital

术后疼痛严重影响患者的康复进程,从而导致住院时间延长,照护成本增加。合理应用患者自控镇痛装置可有效缓解围术期急性疼痛。北京协和医院于1994年引入患者自控镇痛技术,并于2004年成立了急性疼痛服务工作组,以麻醉医生为指导、手术室疼痛专科护士为基础,联合实施基于患者自控镇痛的全流程、规范化管理,并不断改进和创新工作方法,为术后疼痛管理的发展奠定了坚实基础。本文从临床工作重点、护理管理经验、疼痛治疗理念的推广与传播、新形势下急性疼痛服务模式的发展等方面对该项工作进行系统回顾与总结,以期为全面加强患者诊疗过程中的疼痛管理、提升患者围术期镇痛服务满意度提供有价值的参考。

Postoperative pain seriously affects the recovery process of patients,resulting in prolonged hospital stay and increased care costs.Appropriate application of patient⁃controlled analgesia devices can effec⁃tively relieve perioperative acute pain.In 1994 patient⁃controlled analgesia began to be used in Peking Union Medical College Hospital,and the Acute Pain Service Working Group was established in 2004.With the cooper⁃ation of anesthesiologists and specialist nurses,the group jointly has implemented the whole process and stand⁃ardized management based on patient⁃controlled analgesia,and constantly improved and innovated working meth⁃ods,laying a solid foundation for the development of postoperative pain management.This paper systematically re⁃views and summarizes the work from the aspects of clinical focus,nursing management experience,promotion and dissemination of pain treatment concepts,and development of acute pain service model under the new situation,with the hope of providing valuable reference for comprehensively strengthening pain management in the process of diagnosis and treatment,and enhancing patients’satisfaction with perioperative analgesia services.