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恒速镇痛泵的故障分析与排除
引用本文:张智,罗化全.恒速镇痛泵的故障分析与排除[J].重庆医学,2009,38(16).
作者姓名:张智  罗化全
作者单位:1. 四川省成都市武侯区人民医院麻醉科,610041
2. 四川省成都市武侯区第三人民医院麻醉科,610043
摘    要:目的 了解临床应用中影响一次性恒速球泵镇痛效果的机械故障或其他故障以及患者出现的不良反应.方法 对两院临床持续性术后镇痛3 200例分为CCEA组和CCIA组进行分析.结果 CCEA 组中主要以硬膜外导管因素和镇痛泵流速偏差而导致患者出现不良反应和镇痛效果不理想.而CCIA组中主要以镇痛泵流速偏差和镇痛药物导致患者出现不良反应和镇痛效果不理想.结论 加强硬膜外导管固定及管理,密切术后随访,适时的心理治疗,是减少术后镇痛中机械故障和患者不良反应发生率的重要手段.

关 键 词:恒速球泵  术后镇痛  故障  不良反应

Troubleshooting of post-operative continuous constant-dose analgesia
ZHANG Zhi,LUO Hua-quan.Troubleshooting of post-operative continuous constant-dose analgesia[J].Chongqing Medical Journal,2009,38(16).
Authors:ZHANG Zhi  LUO Hua-quan
Institution:ZHANG Zhi1,LUO Hua-quan2(1.Department of Anesthesiology,Chengdu Wuhou District Hospital,Chengdu,Sichuan 610041,China,2.Department of Anesthesiology,Wuhou District Third Hospital of Chengdu,Sichuan 610043,China)
Abstract:Objective To investigate the mechanical and other disorders of disposable continuous constant-dose analgesia pump,as well as the side effects of pump.Methods 3 200 patients receiving post-operative continuous constant-dose analgesia were divided into 2 groups,continuous constant-dose epidural analgesia(CCEA) group and continuous constant-dose intravenous analgesia(CCIA) group.Results The main reasons of unsatisfactory analgesia effect and side effect in CCEA group were epidural catheter disorders.The main r...
Keywords:constant-dose pump  post-operative analgesia  disorder  side effects  
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