无线镇痛泵系统在加速康复外科中的应用研究

发布时间：2018-04-16 10:09

本文选题：术后镇痛 + 无线远程监控镇痛系统　；参考：《宁波大学》2017年硕士论文

【摘要】：目的研究无线远程监控镇痛泵系统和普通静脉自控镇痛泵系统在加速康复外科(Enhanced Recovery After Surgery,ERAS)中的使用比较。分析相应数据,挖掘无线远程监控镇痛泵系统在加速康复外科中的应用价值,为加速康复外科在外科学领域的发展提供更进一步的有力保障。方法选取择期行腹腔镜下结直肠癌手术并术后需要行静脉自控镇痛(patient controlled intravenous analgesia,PCIA)治疗的患者120例,随机分成两组,无线镇痛组(W组,60例)和普通镇痛组(P组,60例)。两组分别在手术结束拔除气管插管后接上止痛泵,应用视觉模拟评分法(Visual Analogue Score,VAS)分别记录患者术后2h、6h、12h、24h、48h的疼痛评分,术后三天内病人的舒适状况评分,统计镇痛工作量,记录镇痛不足的补救次数,记录镇痛相关并发症,病人及医务人员的满意度等情况。结果两组患者的一般资料比较差异无统计学意义(P㧐0.05)。静息状态下,在使用PCIA后2h、12h、24h、48h两组间疼痛比较差异无统计学意义(P㧐0.05),术后6h W组患者VAS评分比P组低,差异有统计学意义(P㩳0.05);活动状态下,在使用PCIA后12h、24h、48h两组间比较差异无统计学意义(P㧐0.05),术后2h及术后6h W组患者VAS评分比P组低,差异有统计学意义(P㩳0.05)。两组患者使用PCIA后三天内记录舒适状况评分,两组间比较差异有统计学意义(P㩳0.05)。术后患者使用PCIA过程中出现头晕、恶心呕吐、皮肤瘙痒的发生率两组间比较差异无统计学意义(P㧐0.05)。两组患者及医护人员对PCIA治疗后48h的总体满意度W组均高于P组,差异有统计学意义(P㩳0.05)。结论与传统镇痛泵比较,无线远程监控镇痛泵系统在加速康复外科中的应用能有效处理病人的疼痛,加速病人的早期康复,增加病人术后的舒适度及满意度,值得在临床上推广使用。
[Abstract]:Objective to compare the use of wireless remote monitoring analgesia pump system and general intravenous analgesic pump system in accelerated rehabilitation surgery with enhanced Recovery After Surgeryas.By analyzing the corresponding data, the application value of wireless remote monitoring analgesic pump system in accelerating rehabilitation surgery is excavated, which provides a further powerful guarantee for accelerating the development of rehabilitation surgery in the field of external science.Methods one hundred and twenty patients undergoing laparoscopic controlled intravenous analgesia were randomly divided into two groups: wireless analgesia group (n = 60) and general analgesia group (n = 60).After the tracheal intubation was removed, the pain relief pump was attached to the two groups. Visual Analogue Scorevas was used to record the pain scores of the patients at 2 h, 6 h, 12 h, 24 h and 48 h after the operation, and the patients' comfort status and analgesic workload were counted within 3 days after operation.The recovery times of analgesia deficiency, the complications related to analgesia, the satisfaction of patients and medical staff were recorded.Results there was no significant difference in general data between the two groups.In resting state, there was no significant difference in pain between the two groups at 2 h, 12 h, 24 h and 48 h after PCIA. The VAS score of group W was lower than that of group P at 6 h after PCIA, and the difference was statistically significant.There was no significant difference between the two groups at 12h, 24h and 48h after PCIA. The VAS score of group W was lower than that of group P at 2 h and 6 h postoperatively, and the difference was statistically significant.The scores of comfort status were recorded within 3 days after PCIA in the two groups, and the difference between the two groups was statistically significant (P 0.05).There was no significant difference in the incidence of dizziness, nausea and vomiting and pruritus between the two groups.The overall satisfaction of two groups of patients and medical staff was higher than that of P group at 48 hours after PCIA treatment, and the difference was statistically significant.Conclusion compared with the traditional analgesic pump, the application of wireless remote monitoring analgesia pump system in accelerated rehabilitation surgery can effectively deal with patients' pain, accelerate their early recovery, and increase their comfort and satisfaction after operation.It is worth popularizing in clinic.
【学位授予单位】：宁波大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R614

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