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目的总结鞘内镇痛泵植入治疗癌症骨转移难治性疼痛的护理。方法对11例癌症骨转移病人术前做好疼痛及用药评估、心理护理、病人准备、预防感染;术后监测生命体征、调整吗啡药物用量、观察并处理药物不良反应,做好生活护理及出院指导。结果 11例病人术后疼痛减轻或消失,生活质量明显提高,未发生严重不良反应和并发症。结论安全有效的护理措施能增加病人的舒适感,减少并发症,是鞘内镇痛泵植入术成功的关键。
Objective To summarize the nursing of intrathecal analgesia pump implantation for the refractory pain of bone metastasis of cancer. Methods 11 cases of patients with bone metastases of cancer were evaluated on pain and medication, psychological nursing, patient preparation and prevention of infection. Postoperative vital signs were monitored, dosage of morphine was adjusted, adverse drug reactions were observed and treated, and nursing care and discharge were completed guide. Results The postoperative pain in 11 patients was relieved or disappeared, the quality of life was significantly improved, and no serious adverse reactions and complications occurred. Conclusion The safe and effective nursing measures can increase patient comfort and reduce complications, which is the key to the success of intrathecal analgesia pump implantation.