本文選題：術(shù)后鎮(zhèn)痛 + 無線遠(yuǎn)程監(jiān)控鎮(zhèn)痛系統(tǒng)　； 參考：《寧波大學(xué)》2017年碩士論文

【摘要】：目的研究無線遠(yuǎn)程監(jiān)控鎮(zhèn)痛泵系統(tǒng)和普通靜脈自控鎮(zhèn)痛泵系統(tǒng)在加速康復(fù)外科(Enhanced Recovery After Surgery,ERAS)中的使用比較。分析相應(yīng)數(shù)據(jù),挖掘無線遠(yuǎn)程監(jiān)控鎮(zhèn)痛泵系統(tǒng)在加速康復(fù)外科中的應(yīng)用價值,為加速康復(fù)外科在外科學(xué)領(lǐng)域的發(fā)展提供更進(jìn)一步的有力保障。方法選取擇期行腹腔鏡下結(jié)直腸癌手術(shù)并術(shù)后需要行靜脈自控鎮(zhèn)痛(patient controlled intravenous analgesia,PCIA)治療的患者120例,隨機(jī)分成兩組,無線鎮(zhèn)痛組(W組,60例)和普通鎮(zhèn)痛組(P組,60例)。兩組分別在手術(shù)結(jié)束拔除氣管插管后接上止痛泵,應(yīng)用視覺模擬評分法(Visual Analogue Score,VAS)分別記錄患者術(shù)后2h、6h、12h、24h、48h的疼痛評分,術(shù)后三天內(nèi)病人的舒適狀況評分,統(tǒng)計鎮(zhèn)痛工作量,記錄鎮(zhèn)痛不足的補(bǔ)救次數(shù),記錄鎮(zhèn)痛相關(guān)并發(fā)癥,病人及醫(yī)務(wù)人員的滿意度等情況。結(jié)果兩組患者的一般資料比較差異無統(tǒng)計學(xué)意義(P㧐0.05)。靜息狀態(tài)下,在使用PCIA后2h、12h、24h、48h兩組間疼痛比較差異無統(tǒng)計學(xué)意義(P㧐0.05),術(shù)后6h W組患者VAS評分比P組低,差異有統(tǒng)計學(xué)意義(P㩳0.05);活動狀態(tài)下,在使用PCIA后12h、24h、48h兩組間比較差異無統(tǒng)計學(xué)意義(P㧐0.05),術(shù)后2h及術(shù)后6h W組患者VAS評分比P組低,差異有統(tǒng)計學(xué)意義(P㩳0.05)。兩組患者使用PCIA后三天內(nèi)記錄舒適狀況評分,兩組間比較差異有統(tǒng)計學(xué)意義(P㩳0.05)。術(shù)后患者使用PCIA過程中出現(xiàn)頭暈、惡心嘔吐、皮膚瘙癢的發(fā)生率兩組間比較差異無統(tǒng)計學(xué)意義(P㧐0.05)。兩組患者及醫(yī)護(hù)人員對PCIA治療后48h的總體滿意度W組均高于P組,差異有統(tǒng)計學(xué)意義(P㩳0.05)。結(jié)論與傳統(tǒng)鎮(zhèn)痛泵比較,無線遠(yuǎn)程監(jiān)控鎮(zhèn)痛泵系統(tǒng)在加速康復(fù)外科中的應(yīng)用能有效處理病人的疼痛,加速病人的早期康復(fù),增加病人術(shù)后的舒適度及滿意度,值得在臨床上推廣使用。
[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.
【學(xué)位授予單位】：寧波大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R614

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