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目的:总结晚期癌症患者运用自控镇痛泵家庭治疗的体会。方法:以183例晚期晚期癌症患者为研究对象,采用自控镇痛泵进行家庭治疗。静脉自控镇痛(PCIA)组42例,硬膜外自控镇痛(PCEA)组141例,观察患者的疼痛程度变化和和并发症情况。结果:治疗后无疼痛人数和轻度疼痛人数显著增加,中度疼痛和重度疼痛人数显著减少,治疗前后各个疼痛程度人数差异有统计学意义(P<0.05)。治疗期间恶心、呕吐82例,轻度皮肤瘙痒35例,便秘28例。恶心、呕吐、便秘患者经对症治疗后有效缓解,皮肤瘙痒患者经钙剂治疗后快速缓解;患者均未出现呼吸循环抑制和尿潴留等不良反应。结论:在农牧区应用以上镇痛方法,方便、经济。患者家属可自行推注镇痛泵内单元用药,并逐渐增加单元用药浓度,简便易行适宜推广。
OBJECTIVE: To summarize the experience of using home-controlled analgesia pump in patients with advanced cancer. Methods: 183 cases of advanced cancer patients as the research object, the use of controlled analgesia pump for family therapy. 42 patients in intravenous controlled analgesia (PCIA) group and 141 patients in epidural analgesia (PCEA) group were observed changes of pain degree and complications. Results: There was a significant increase in the number of no pain and mild pain after treatment, the number of moderate pain and severe pain decreased significantly, and there was a significant difference in the number of pain before and after treatment (P <0.05). Nausea during treatment, vomiting in 82 cases, 35 cases of mild skin itching, constipation in 28 cases. Nausea, vomiting, constipation patients effective relief after symptomatic treatment, skin pruritus patients after rapid relief of calcium treatment; patients did not appear respiratory cycle inhibition and urinary retention and other adverse reactions. Conclusion: Applying the above analgesic methods in rural and pastoral areas is convenient and economical. Family members of patients can push their own analgesic pump pump unit, and gradually increase the concentration of unit medication, easy to promote appropriate.