经皮自控镇痛术对治疗晚期癌症患者疼痛效果分析

Effect of Percutaneous Self-controlled Analgesia Technique on Advanced Cancer Pain

目的探讨皮下自控镇痛术对晚期癌痛的止痛效果。方法选择在我院诊治的58例晚期癌症患者,将其随机分成治疗组和对照组。治疗组采用自控泵皮下注入40mg吗啡和20mg咪唑安定的混合液50mL,对照组采用传统的肌注0.1～0.2mg/kg的吗啡和20mg的安定才进行镇痛。采用视觉模拟评分法来评估两组镇痛效果,并且统计患者对镇痛方法的满意度。结果在治疗后,治疗组的评分和患者满意度要明显优于传统方法(P<0.05)。结论经皮自控镇痛术对癌症的晚期疼痛有较好的镇痛效果,患者满意度较高。

Objective To investigate the effect of percutaneous self-controlled analgesia technique on advanced cancer pain. Methods We divided 58 cases of advanced cancer treated in our hospital randomly into treatment group and control group. The treatment group received subcutaneous injection 50M1 mixture of 40mg morphine and 20mg midazoiam with a self-controlled pump, and the control group was given traditional intramuscular injection 0.1 to 0.2mg/kg morphine and 20mg diazepam. We used the visual analogue scales （VAS）to assess the analgesic effect of the two groups and the statistical method to analyze the patient satisfaction for analgesia method. Results The VAS of the treatment group and patient satisfaction were significantly better after treatment than those of the control group（P〈O.05）. Conclusion Percutaneous self-controlled analgesia technique has a better analgesic effect on advanced cancer pain,with a higher patient satisfaction.