骨髓和干细胞移植期间儿童的疼痛管理
Pain Management for Children during Bone Marrow and Stem Cell Transplantation.
作者信息
Vasquenza Kelly, Ruble Kathy, Chen Allen, Billett Carol, Kozlowski Lori, Atwater Sara, Kost-Byerly Sabine
机构信息
Department of Pediatric Pain Management, Johns Hopkins Hospital, Baltimore, Maryland.
Department of Pediatric Oncology, Baltimore, Maryland.
出版信息
Pain Manag Nurs. 2015 Jun;16(3):156-62. doi: 10.1016/j.pmn.2014.05.005. Epub 2014 Sep 26.
Pain management for children during bone marrow and stem cell transplantation is a significant clinical challenge for the health care team. Pain management strategies vary by institution. This paper reports on the use of a pediatric pain management service and patient- and caregiver-controlled analgesia for children undergoing transplant. This 2-year retrospective chart review examined the pain management practices and outcomes of children undergoing bone marrow and stem cell transplants in a large urban teaching hospital during 2008 and 2009. We concluded that patient- and caregiver-controlled analgesia is a well-tolerated modality for pain control during hospitalization for transplantation at this institution.
对于医疗团队而言，在儿童进行骨髓和干细胞移植期间的疼痛管理是一项重大的临床挑战。疼痛管理策略因机构而异。本文报告了针对接受移植的儿童使用儿科疼痛管理服务以及患者和护理人员自控镇痛的情况。这项为期两年的回顾性病历审查研究了2008年至2009年期间在一家大型城市教学医院接受骨髓和干细胞移植的儿童的疼痛管理实践及结果。我们得出结论，在本机构，患者和护理人员自控镇痛是移植住院期间控制疼痛的一种耐受性良好的方式。
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