患者自控镇痛技术在我国发展的回顾与临床策略前瞻

Retrospection of development and prospective clinical strategy of patient-controlled analgesia in China

疼痛是现今人们关注的热点,术后镇痛的效果直接影响患者术后舒适度与康复质量.尽管患者自控镇痛(PCA)技术在不断改进,但至今仍有50%~70%的患者存在术后镇痛不全.随着新型镇痛药物的出现与IT技术不断发展,加强与提高镇痛质量,创新PCA技术,改善管理模式,使互联网与PCA结合,采用无线患者自控镇痛系统解决方案(PCASS),达到智能化和精准化镇痛医疗效果.麻醉科医生积极主动参与疼痛多学科协作(PMDT),在围术期规范化镇痛管理(GPPM)措施下完善核心技术、创建管理平台;实现患者安全、无痛、舒适的PCA.医护人员工作高效、安全、快捷、规范的云数据管理目标则是中国PCASS发展的未来.让患者获得“高质量-安全-舒适”的专项服务,让术后PCA朝着智能化和精准化方向发展.

Pain is the focus of attention now,and the effect of postoperative analgesia directly affects the patients'postoperative comfort and rehabilitation quality.Although patient-controlled analgesia(PCA)technique improves constantly,there are still 50%-70%patients existing insufficiency of postoperative analgesia.With the emergence of new analgesic drugs,development of IT technology,innovation of PCA technology,improvement of management mode,and the combination of internet with PCA,the quality of analgesia is strengthened and improved.In order to achieve intelligent and precise analgesic effects,and realize safety,painless and comfort to patients,medical staff should change their minds,actively participate in multiple disciplinary management team for pain,use wireless analgesic pump with intelligentized patient controlled analgesia system solutions(PCASS),and improve the core technology and good perioperative pain management of analgesia.The future of PCASS is to provide an efficient,safe,fast and standardized cloud data management for medical staff in China,so that the patients can receive special services of'high quality-safety-comfort'in postoperative analgesia.To optimize the patient-controlled analgesia in the direction of intellectualization and precision is very important in the near future.