改良埋入式注射泵联合硬膜外自控镇痛在晚期癌痛的疗效观察

摘要

目的 观察改良埋入式注射泵联合硬膜外自控镇痛(PCEA)对晚期癌痛患者的镇痛效果.方法 晚期癌痛患者25例,用改良埋入式注射泵植入皮下疏松结缔组织连接大容量镇痛泵持续注药止痛.药物配方:0.125%盐酸罗哌卡因、0.0002%芬太尼、0.0125%地塞米松、0.003%氟哌啶,流量1 ml/h-1,PCA 0.5 ml/30 min-1.结果 25例患者治疗前后VAS评分比较差异具有统计学意义(P＜0.05),镇痛满意程度优良率84%～96%,患者生命体征稳定.结论 改良埋入式注射泵联合硬膜外自控镇痛术治疗于晚期癌痛安全有效.%Objective To observe the analgesia effect of modified embedded injection pump combined with patient-controlled epidural analgesia in 25 patients with late cancer pain. Methods Modified embedded injection pump ,which implanted under the skin loose connective tissue connect big capacity analgesia pump continue inject drugs to reduce pain. Drug composition: 0. 125％ ropivacaine, 0. 0002％ fentanyl, 0. 0125％ dexamethasone, and 0. 0125％ droperidol. The continuous was 1 ml per hour,0.5 ml per 30 minutes, respectively. Results The VAS scores before and after treatment were significantly different( P＜ 0.05 ). The good or excellent rate was 84％ - 96％for satisfaction degree evaluation. Patient's vital signs were stability. Conclusion Modified embedded injection pump combined with patient-controlled epidural analgesia provide a safe and effective method for late cancer pain treatment.