镇痛智能化管理用于剖宫产术后镇痛满意度临床研究.docVIP

镇痛智能化管理用于剖宫产术后镇痛满意度临床研究 　　【摘要】 目的：探?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（P0.05）；观察组满意度明显高于对照组（P0.05）。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。 　　【关键词】 术后镇痛满意度； 剖宫产； 镇痛智能化管理 　　Clinical Effect Research of Intelligent Pain Management Mode in the Clinical Satisfaction after the Cesarean Section/ZHOU Chuan-hua，LIANG Jian-hua，LI Lian-jie，et al.//Medical Innovation of China，2017，14（10）：136-139 　　【Abstract】 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（P0.05）；the clinical satisfaction of observation was significantly higher than control group（P0.05）.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. 　　【Key words】 Postoperative analgesia satisfaction； Cesarean section； Intelligent pain management 　　First-author’s address：Maternal