评估连续外周输液和编程间歇外周玻尿酸在提供分娩止痛的有效性:一个单一中心的回顾性比较研究
Shao-Lun Tsao1,2, Wen-Tyng Li2, Li-Yun Chang1
1Department of Anesthesiology, Changhua Christian Hospital, Changhua 500, Taiwan.
Medicina (Kaunas, Lithuania)
|September 28, 2023
概括
与患者控制的外周止痛疗法 (PCEA) 相结合的编程间歇性外周止痛疗法 (PIEB) 减少了药物剂量,但与连续外周输液 (CEI) + PCEA 相比,增加了急性疼痛服务 (APS) 工作负担.
科学领域:
- 麻醉学 麻醉学
- 产科 产科 产科 产科 产科
- 疼痛管理 疼痛管理
背景情况:
- 对于分娩的外周止痛已经发展,编程间歇性外周痛囊 (PIEB) 可能会比连续外周输液 (CEI) 提供更好的药物分配.
- 从CEI + 患者控制的外周止痛疗法 (PCEA) 过渡到PIEB + PCEA,促使对其临床影响进行调查.
研究的目的:
- 为了比较PIEB + PCEA与CEI + PCEA对急性疼痛服务 (APS) 员工工作量的影响.
- 评估两种外周止痛止痛方法之间的母亲满意度,副作用和并发症的差异.
主要方法:
- 对接受CEI + PCEA或PIEB + PCEA的分娩患者的急性疼痛服务 (APS) 记录的回顾性分析.
- 总分娩时间的比较,局部麻醉剂的剂量,药物使用,副作用的发生率,以及员工工作量指标 (例如,救援玻尿酸,导管调整).
主要成果:
- 与CEI + PCEA组相比,PIEB + PCEA组的总药物和平均每小时剂量明显较低.
- 在PIEB + PCEA组中,剂量调整,手动玻尿酸注射,额外的患者访问和救援玻尿酸注射的发生率更高,这表明员工工作量增加.
- 两组之间在剖腹产率,分娩时间,母亲的满意度或整体副作用方面没有发现显著差异.
结论:
- 虽然PIEB + PCEA有效地减少了用于分娩止痛的药物总剂量,但它导致急性疼痛服务 (APS) 工作人员工作量显著增加.
- 与PIEB + PCEA相关的员工负担增加是临床实施和疼痛管理资源配置的关键考虑因素.
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