CAJ | 학술논문

目的：比较无线镇痛泵系统与传统镇痛泵的镇痛效果及不良反应。方法某院2013年4-11月采用无线镇痛泵系统于术后镇痛595例（ W组），与2012年11月-2013年3月采用传统镇痛泵用于术后镇痛608例（ C组）对比，观察术后2h、6h、12h、24h、48h患者疼痛强度、处理时间、治疗满意度及不良反应。结果两组患者的一般情况比较差异无统计学意义（P＞0.05）。术后2 h、24 h、48 h两组间疼痛强度比较差异无统计学意义（P＞0．05），W组患者6 h、12 h疼痛强度低于C组，两组间比较差异有统计学意义（P＜0.01）。疼痛的处理时间两组间比较差异有统计学意义（P＜0.01）。经静脉患者自控镇痛（PCIA）过程中头晕、恶心呕吐的发生率两组间比较差异无统计学意义（P＞0．05）。 W组患者的总体满意度高于C组（P＜0．01）。结论与传统镇痛泵比较，无线镇痛泵系统能缩短疼痛有效处理时间，显著提高PCIA 48 h内患者的总体满意度，在术后镇痛中具有明显的优越性。
목적：비교무선진통빙계통여전통진통빙적진통효과급불량반응。방법모원2013년4-11월채용무선진통빙계통우술후진통595례（ W조），여2012년11월-2013년3월채용전통진통빙용우술후진통608례（ C조）대비，관찰술후2h、6h、12h、24h、48h환자동통강도、처리시간、치료만의도급불량반응。결과량조환자적일반정황비교차이무통계학의의（P＞0.05）。술후2 h、24 h、48 h량조간동통강도비교차이무통계학의의（P＞0．05），W조환자6 h、12 h동통강도저우C조，량조간비교차이유통계학의의（P＜0.01）。동통적처리시간량조간비교차이유통계학의의（P＜0.01）。경정맥환자자공진통（PCIA）과정중두훈、악심구토적발생솔량조간비교차이무통계학의의（P＞0．05）。 W조환자적총체만의도고우C조（P＜0．01）。결론여전통진통빙비교，무선진통빙계통능축단동통유효처리시간，현저제고PCIA 48 h내환자적총체만의도，재술후진통중구유명현적우월성。
Objective To compare the analgesia effects and side effects of using wireless analgesic pump and traditional anal -gesic pump.Methods Our hospital used wireless analgesic pump to ease pain in 595 cases after operation from April to November in 2013 year and used traditional analgesic pump to ease pain after operation in 608 cases from November in 2012 year to March in 2013 year,clinical observation of postoperative patient’s pain intensity,processing time,treatment satisfaction and side effects were compared between two groups.Results There was no significant difference comparatively between above mentioned two groups (P>0.05). There was no significant difference comparatively in pain intensity after operation 2 h,24 h,48 h between two groups (P>0.05).W group’s pain intensity was lower than C group after operation 6 h and 12 h.The comparative difference had statistical sense (P<0.01). The comparative difference about processing pain time had statistical sense (P<0.01).There was no significant difference compara-tively about lightheaded,nausea and vomiting during PICA between two groups (P>0.05).W group’s degree of satisfaction was higher than C group.The comparative difference had statistical sense (P<0.01).Conclusion Compared with traditional analgesic pump , wireless analgesic pump system shortened the time from receiving algetic information to effective treatment ,and improved the patients’general evaluation for 48 hours’PCIA treatment .In general ,it had obvious superiority in the postoperative analgesia .