摘要
Abstract
Objective To compare the analgesic effect of the wireless remote patient- controlled intravenous analgesia (PICA) monitoring system with conventional analgesia pump system for colorectal cancer patients after laparoscopic radical resection. Methods One hundred and twenty patients, who received laparoscopic surgery for colorectal and needed PCIA after the operation, were randomly assigned to two groups: the wireless monitoring group (group W, n=60) and the conventional PCIA group (group P, n=60). The use of analgesia pumps started after tracheal extubation; pain rating VAS was scored at 2, 6, 12, 24, 48h after PCIA started and the comfort status score after PCIA was assessed for 3d. The daily dose of analgesics, the times of additional analgesia demanded, the times of pain management by medical staff, the total number and effective number of the PCIA pressing, the analgesia related complications, the satisfaction of patients and medical staff were documented in two groups. Results Compared with group P, the pain rating VAS was lower in group Wat 6h in resting state (P＜0.05), and at 2h, 6h in active state(P＜0.05); the comfort status score for 3d of PCIA was higher in group W(P＜0.05). Analgesic dosage of group Wwas higher than that of group P in the first 24h(P＜0.05).The pain management time by medical staff in group Wwas significantly shorter than that in the group P (P＜0.01). The total pressing number of PCIA in group Wwas less than that in group P (P＜0.05). After 48 h of PCIA treatment, satisfaction of patients and medical staff were higher in group W (P＜0.05). Conclusion Compared with the conventional analgesia pump, the wireless remote patient- controlled intravenous analgesia monitoring system can more effectively control the pain, accelerate the early recovery, increase the comfort status and satisfaction of colorectal cancer patients after laparoscopic radical resection.关键词
术后镇痛/无线远程监控镇痛泵系统/腹腔镜手术/肠癌Key words
Postoperative analgesia/Wireless remote patient- controlled intravenous analgesia monitoring system/Laparoscopic surgery/Colon cancer
