摘要
目的：总结1995～2005年期间急性疼痛服务（APS）管理十年来的临床工作情况，探讨其可行性和有效性。方法：APS小组采用麻醉医师指导的护士定时巡视、值班医师负责处理紧急情况的模式。对全部急性疼痛均应用病人自控镇痛治疗。结果：接受APS治疗的患者共计13，500例，静脉、硬膜外、蛛网膜下腔和神经阻滞四种镇痛途径的视觉模拟评分分别为2．6±3．7、1．2±3．1、0．5±0．8和2．2±2．6；病人满意度分别为88．4％、96．1％、97．7％和76．3％。总体镇痛满意率为96．3％；不良反应发生率如恶心呕吐为6．7％-24．6％，瘙痒为0．2％～3．8％，呼吸抑制为0—0．18％。结论：采用麻醉医师指导的护士定时巡视和值班医师负责处理紧急情况的APS规范化管理是可行的，且有利于改善急性疼痛治疗的效果。
Objective ： To summarize the clinical data of acute pain service （APS） from 1995 to 2005, and investigate the possibility to standardize acute model is anesthetist-supervised nurse-timely-visited, pain management by APS. Methods： APS running and responsible by on-duty-anesthetist. All APS patients were treated by patient-controlled analgesia. Results： There were totally 13,500 patients treated by APS. VAS under intravenous, epidural, intrathecal and neural blockade were 2.6 ± 3.7, 1.2 ± 3.1,0. 5 ± 0.8 and 2.2 ＋ 2.6, respectively. Patients＇ satisfaction ratio were 88.4%, 96.1%, 97.7% and 76. 3 %, respectively. Total patients＇ satisfaction ratio were 96.3 %. The incidence of side effects were very low, with nausea and vomiting 6.7% - 24.6%, pruritus 0.2% - 3.8%, and respiratory depression 0 - 0.18%. Conclusion： APS, anesthetist-supervised nurse-timely-visited, and responsible by on-duty-anesthetist, can be helpful to standardize acute pain management, and improve the efficency of acute pain treatment.
出处
《中国疼痛医学杂志》
CAS
CSCD
北大核心
2006年第2期69-71,共3页
Chinese Journal of Pain Medicine
关键词
急性疼痛服务
镇痛
病人控制
管理
Acute pain service
Analgesia
Patient-controlled
Management
