自控镇痛模式术后镇痛治疗的利弊

Advantages and Disadvantages of Patient-controlled Analgesic for Postoperative Analgesia

患者术后自控镇痛较传统术后镇痛方法具有镇痛效果确切、安全性高等特点,成为目前术后镇痛的主要模式。近年来随着临床使用的增多,自控镇痛模式的种类也越来越多,患者自控静脉镇痛和患者自控硬膜外镇痛是两种最常用的模式,具有快速起效、适用范围广、患者满意度高的优点,但需专业人员操作;患者自控局部镇痛、患者自控鼻内镇痛和芬太尼HCI电离子渗入疗法经皮系统具有操作简单、安全性高的优点。

Compared to the conventional analgesia,patient-controlled analgesia（PCA）is safer and more effective,which has so far become the mainstream of postoperative analgesia.With the increase of clinical use,a variety of PCA modes have been developed.However,PCIA and PCEA are still superiot in their rapid effects,wide range of application and higher patient satisfaction,despite of the disadvantage requiring professional manipulations.PCRA,PCINA and ITS are advantaged in easy manipulation and higher safety.The article focuses on the advantages and disadvantages of various PCA modes in postoperative analgesia.