摘要
目的:探讨在剖宫产术后采取无线镇痛泵系统进行镇痛管理对患者镇痛满意度的影响。方法:选取2016年9月-2017年2月在本院行剖宫产术术后使用镇痛泵产妇200例,将入选产妇按随机数字表法分为对照组和观察组,每组100例,均采用腰硬联合麻醉,镇痛方法均为硬膜外自控镇痛(PCEA),对照组采电子镇痛泵,观察组采取无线镇痛泵系统,观察两组不同时间点的VAS评分、术后镇痛满意度、不良事件、并发症及相关事件处理时间。结果:两组各时间段NRS评分、睡眠评分比较,差异均无统计学意义(P>0.05);观察组满意度明显高于对照组(P<0.05);观察组从接到信息到有效处理的时间显著短于对照组(P<0.05);两组术后尿潴留、下肢麻木、恶心呕吐及皮肤瘙痒发生情况及术后镇痛管理相关的不良事件比较,差异均无统计学意义(P>0.05)。结论:无线镇痛泵系统应用于剖宫产产妇,能使术后镇痛的管理质量提高,明显提高术后硬膜外镇痛的满意度,具有推广价值。
Objective： To study the clinical effect of wireless analgesia pump system in the clinical satisfaction after cesarean section.Method： 200 pregnant women undergoing cesarean delivery after cesarean section in our hospital from September 2016 to February 2017 were selected, they were divided into control group and observation group according to the random number table method, 100 cases in each group.All of the pregnant women were treated with combined spinal epidural anesthesia, and the analgesic methods were controlled epidural analgesia （ PCEA ） . The control group adopted electronic analgesia pump system, the observation group adopted wireless analgesia pump system.The VAS points, clinical satisfaction, adverse events, complications and clinical treatment time for two groups were observed.Result： There were no significant differences between the two groups in NRS score and sleep score at each time point （ P〉0.05 ） ; the clinical satisfaction of observation was significantly higher than control group （ P〈0.05 ） ; the time from received information to effective treatment （ T ） in observation group was shorter than control group （P〈O.05） ; the incidence rate of adverse reactions like urinary retention, numbness of lower limb, nausea, vomiting and skin itch for two groups were not significantly different （ P〉0.05 ） .Conclusion： The application of wireless analgesic pump system in cesarean section can improve the quality of postoperative analgesia, and significantly improve the satisfaction of postoperative epidural analgesia, it is worthy of clinical promotion.
出处
《中国医学创新》
CAS
2017年第10期136-139,共4页
Medical Innovation of China
基金
肇庆市科学技术创新指导类项目(2016040307)
关键词
术后镇痛满意度
剖宫产
镇痛智能化管理
Postoperative analgesia satisfaction
Cesarean section
Intelligent pain management
