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智能化镇痛管理对剖宫产术后自控镇痛质量的影响

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目的 探讨智能化无线镇痛泵系统在剖宫产术后镇痛中的应用效果。方法 选择2020年1月至2022年10月在腰硬联合阻滞麻醉下行剖宫产术的 600例产妇为研究对象,按入室先后顺序将其随机分为无线镇痛泵(R)组和电子镇痛泵(A)组,每组300例。产妇术后均实施硬膜外自控镇痛(PCEA),术毕R组接REHN-Ⅱ型无线镇痛泵,A组接ZZB-Ⅰ型电子镇痛泵。比较两组产妇镇痛后各时间点的视觉模拟评分法(VAS)评分和Ramsay镇静评分(RSS)评分,镇痛期间医护人员被召回病房次数、报警处理时间、镇痛键按压次数、睡眠时间、肛门排气时间、并发症发生情况以及满意度。结果 镇痛后6、12、24 h,R组的VAS评分显著低于A组(P<0。05);镇痛后6、12、24、36、48 h,两组的RSS评分比较,差异无统计学意义(P>0。05)。R组的医护人员被召回病房次数显著少于A组,报警处理时间、肛门排气时间显著短于A组,睡眠时间显著长于 A组(P<0。05)。两组的并发症总发生率比较,差异无统计学意义(P>0。05)。R组的满意度显著高于A组(P<0。05)。结论 智能化镇痛管理用于剖宫产术后自控镇痛的临床效果肯定,可以提高产妇满意度,且具有一定的优势。
Effect of intelligent analgesia management on the quality of patient-controlled analgesia after cesarean section
Objective To explore the application effect of intelligent wireless analgesia pump system on analgesia after cesarean section.Methods From January 2020 to October 2022,600 puerperae undergoing cesarean section under combined spinal-epidural anesthesia were selected as the research objects.According to the order of admission,the puerperae were randomly divided into wireless analgesia pump(R)group and electronic analgesia pump(A)group,with 300 cases in each group.Patient controlled epidural analgesia(PCEA)was performed after operation.At the end of operation,the group R was connected with REHN-Ⅱ wireless analgesia pump,and the group A was connected with ZZB-Ⅰ electronic analgesia pump.The Visual Analogue Scale(VAS)and Ramsay Sedation Score(RSS)scores at each time point after analgesia,the number of medical staff being recalled to the ward during analgesia,the alarm processing time,the demand times of analgesic key,sleep time,anal exhaust time,complications and satisfaction were compared between the two groups.Results After 6,12 and 24 h of analgesia,the VAS score of the group R was significantly lower than that of the group A(P<0.05);there was no significant difference in RSS score between the two groups after 6,12,24,36,48 h of analgesia(P>0.05).The number of medical staff being recalled to the ward in the group R was significantly less than that in the group A,the alarm processing time and anal exhaust time were significantly shorter than those in the group A,and the sleep time was significantly longer than that in the group A(P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).The satisfaction of the group R was significantly higher than that of the group A(P<0.05).Conclusion The intelligent analgesia management on the quality of patient-controlled analgesia after cesarean section has a positive clinical effect,and it can improve puerperae's satisfaction and has certain advantages.

intelligent analgesia managementcesarean sectionquality of patient-controlled analgesiaanalgesia pump

王进文、曹天彪、李丽娜

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酒泉市人民医院麻醉科,甘肃 酒泉,735000

智能化镇痛管理 剖宫产 自控镇痛质量 镇痛泵

酒泉市科技局B类民生科技计划

2023MB2031

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(4)
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