鞘内埋入式吗啡泵在晚期癌痛患者中的护理与观察

Nursing and observation of intrathecal embedded type of morphine pump in the patients with advanced cancer pain

目的观察鞘内埋入式吗啡泵在晚期癌痛患者的疗效并讨论相应的护理措施。方法选择2011-2014间在梧州市红十字会医院心胸外科用鞘内埋入式吗啡泵治疗重度癌痛的患者32例,将患者随机分成实验组和对照组,每组各16例。实验组的患者在鞘内埋入式吗啡泵治疗给予全方面护理,对照组的患者在治疗后给予常规的护理,用VAS法评估疼痛变化,观察患者治疗及护理后7 d、14 d的疗效。结果治疗7 d、14 d后,两组患者的病情均有所好转,差异无统计学意义(P>0.05);但实验组的不良反应率(6.25%)明显少于对照组的不良反应率(31.25%),差异有统计学意义(P<0.05)。结论用鞘内埋入式吗啡泵治疗重度癌痛,疗效较好、安全可靠、但全方面护理对于患者的康复必不可少。

Objective To observe the efficacy of intrathecal embedded type of morphine pump in the advanced cancer pain of patients and discuss correlative nursing measures. Methods 32 patients with advanced cancer pain was treated by intrathecal embedded type of morphine pump in pain management of Department of Cardiothoracic Surgery in our hospital from 2011 to 2014 were selected as the study objects,and divided them into experimental group and control group randomly,16 cases in each group. The experimental group received comprehensive nursing after treating by intrathecal embedded type of morphine pump,the control group received conventional nursing after treatment,VAS was adopted for evaluating the pain changes. The efficacy of patients＇ treatment after 7d,14 d of nursing were observed.Results After 7d,14 d of treatment,patients in two groups all got better,differences were not statistically significant（ P 0. 05）. But incidence of adverse reactions of experimental group（ 6. 25%） was less than that of the control group（ 31. 25%）,the differences were statistically significant（ P 0. 05）. Conclusion The efficacy of intrathecal embedded type of morphine pump in the patients advanced cancer pain could be good,safe and reliable,but comprehensive nursing is necessary for the patients＇ rehabilitation.