摘要
目的:探究无线镇痛系统在术后患者自控静脉镇痛中的应用效果。方法:选择2018年1月至2020年12月在解放军联勤保障部队第900医院行胸腔镜手术治疗且实施术后镇痛的200例患者,以随机数表法将其分为两组,传统镇痛管理组(100例)采用常规电子镇痛泵镇痛,无线镇痛管理组(100例)应用无线镇痛系统镇痛,比较两组患者术后镇痛效果、镇痛相关不良反应发生率以及术后康复进程。结果:无线镇痛管理组患者术后2 h、6 h、12 h、24 h的视觉模拟评分法(VAS)评分及镇痛相关不良反应发生率均明显低于传统镇痛管理组,差异具有统计学意义(P<0.05)。无线镇痛管理组患者术后引流管、尿管术后留置时间均短于传统镇痛管理组,开始进食时间、早期下床时间均早于传统镇痛管理组,差异具有统计学意义(P<0.05)。结论:应用无线镇痛系统能够显著提高术后镇痛效果,缩短患者术后康复进程。
Objective To explore the application effect of wireless analgesia system in postoperative patient-controlled intravenous analgesia.Methods 200 patients who underwent thoracoscopic surgery and performed postoperative analgesia in the 900th Hospital of the Joint Service Support Force of the People's Liberation Army from January 2018 to December 2020 were selected.They were randomly divided into two groups.The traditional analgesia management group(100 cases)used conventional electronic analgesia pump for analgesia,and the wireless analgesia management group(100 cases)used wireless analgesia system for analgesia.The postoperative analgesic effect,the incidence of analgesic related adverse reactions and the process of postoperative rehabilitation were compared between the two groups.Results The visual analogue scale(VAS)score and the incidence of analgesic related adverse reactions in the wireless analgesia management group were significantly lower than the traditional analgesia management group at 2h,6h,12h and 24h after operation(P<0.05).The postoperative indwelling time of drainage tube and urinary catheter in wireless analgesia management group were shorter than the traditional analgesia management group,and the time to start eating and get out of bed were earlier than the traditional analgesia management group(P<0.05).Conclusion The application of wireless analgesia system can significantly improve the postoperative analgesic effect and shorten the postoperative rehabilitation process.
作者
陈铭
缪希荣
林雄达
CHEN Ming;MIU Xi-rong;LIN Xiong-da(The 900th Hospital of PLA Joint Service Support Force,Fujian Fuzhou 350000)
出处
《深圳中西医结合杂志》
2021年第18期118-120,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
医院院本部医学科学技术研究计划项目资助课题(2017X02)。
关键词
术后镇痛
无线镇痛系统
自控镇痛泵
Postoperative analgesia
Wireless analgesia system
Patient controlled analgesia pump