摘要
目的:观察晚期癌症患者应用自控镇痛泵(PCA)镇痛的疗效及安全性。方法:60例晚期癌症患者,随机分为观察组和对照组,每组30例,两组均用小剂量持续静脉给药加PCA模式进行镇痛,观察组泵内每毫升含芬太尼10μg,氟哌利多40μg,对照组采用吗啡100mg。结果:观察组并发症发生率为16.67%,对照组为46.67%,两组比较差异有显著性(P<0.05)。观察组生活质量评分高于对照组,两组比较差异有显著性(P<0.05)。结论:将患者自控镇痛应用于晚期癌症患者镇痛效果满意,芬太尼联合氟哌利多安全性好。
Objective：To observe the efficacy and safety of PCA to advanced cancer pa- tients. Methods：Into 60 cases of advanced cancer patients were randomly divided into observation group and control group, cases in both groups, two groups all use the small -dose continuous intravenous PCA mode analgesic, and the observation group pump per nd fentanyl 10txg, droperidol 40 p^g, the control group, morphine 100rag. Results ： Ob- servation group complication rate was 16. 67% ,in the control group complication rate was 46.67%, the difference was significant （P 〈 0. 05 ）. Conclusion： Patient - con- trolled analgesia applied to the satisfaction of the analgesic effect of advanced cancer patients, fentanyl combined with droperidol is security.
关键词
晚期癌症
疼痛
自控镇痛
Advanced cancer
Pain
Con-trolled analgesia
