摘要
目的探讨无线镇痛泵用于老年患者髋关节置换术后镇痛的可行性及有效性。方法将100例我院2016年5月~2017年5月需术后镇痛的老年髋关节置换术后患者随机分为两组,试验组50例,采用无线镇痛泵;对照组50例,采用传统电子镇痛泵。观察应用数字疼痛评分法(NRS)分别于术后出PACU、24 h、48 h、72 h的评价患者的疼痛程度;患者对自控键的总按压次数、有效按压次数;麻醉医生的有效处理时间;测评患者总体满意度及不良反应的发生情况;评估两组患者的术后认知功能。结果两组患者术后各时点的NRS评分比较无统计学差异(P>0.05);两组患者按压自控键的总次数、有效按压次数比较无统计学差异(P>0.05);麻醉医生有效处理时间:试验组为(11.0±2.53)min,对照组为(18.0±3.11)min,有统计学差异(P<0.05);试验组患者的总体满意度高于对照组,差异有统计学意义(P<0.05);两组患者不良反应发生率无明显差异(P>0.05);两组患者术后简易精神状态量表评分及术后认知功能障碍的发生率比较均无差异(P>0.05)。结论无线镇痛泵系统用于老年患者髋关节置换术后的镇痛管理安全可行,利于患者术后快速康复。
Objective To investigate the feasibility and the effectiveness of wireless analgesic pump on the postoperative analgesia of hip replacement in elder patients. Methods 100 elder patients demanding postoperative analgesia after hip replacement in our hospital from May 2016 to May 2017 were randomized into two groups. 50 patients in study group were treated with wireless analgesic pump while 50 patients in control group were treated with conventional elec tronic analgesic pump. The following indicators were observed: the degree of pain when discharge from PACU, 24 h, 48 h and 72 h after the operation was assessed using numerical rating scale(NRS) for pain, total press time and effective press time of self-control button, effective processing time of anesthesiologist, the total satisfactory rate and the incidence of complications, the postoperative cognitive function of patients in two groups. Results The NRS score at each time point in two groups was not statistically different(P>0.05). The total press time and effective press time of selfcontrol button in two groups were not statistically different(P>0.05). The effective processing time of anesthesiologist in study group was(11.0±2.53)min, which was significantly different from that in control group[(18.0±3.11)min](P<0.05).The total satisfactory rate of patients in study group was statistically higher than that in control group(P<0.05). The in cidence of complications in two groups was not significantly different(P>0.05). The score of the mini-mental state examination and the incidence of cognitive dysfunction in two groups were not statistically different(P>0.05). Conclusion It is safe and feasible to use wireless analgesic pump on the postoperative analgesia management of hip replacement in elder patients. It could be helpful for patients to recover soon.
引文
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