Wirz Stefan, Conrad Stefan, Shtrichman Ronit, Schimo Kai, Hoffmann Eva
Department of Anesthesia, Intensive Medicine, Pain Medicine/Palliative Medicine, Center for Pain Medicine, CURA Hospital GFO, Bad Honnef, Germany.
DosentRx Ltd., 2 Hahar St., Har Tuv Industrial Zone A, 9980101 Har Tuv, Israel.
Pain Res Manag. 2017;2017:7962135. doi: 10.1155/2017/7962135. Epub 2017 Sep 28.
Acute postoperative pain delays recovery and increases morbidity and mortality. Traditional administration of postoperative analgesics by nurses is often inefficient. The present study evaluated the safety, efficacy, and usability of a novel, patient-controlled analgesic dispenser, the PCoA Acute.
A controlled pilot study was conducted at three medical centers. Patients scheduled for elective surgery were enrolled into two groups, both taking oral analgesics: a control group ( = 43), opioids dispensed by nurses, and a test group ( = 27), opioids dispensed via the PCoA Acute. Pill intake data were recorded. Pain ratings at rest and during movement were surveyed.
No severe adverse events were recorded. Average pill intake time was reduced from 8 : 58 minutes in the control group to 1 : 17 minutes in the test group ( value < 0.05). The test group took 67% more pills than the control group, indicating enhanced compliance. Pain scores were significantly lower for patients in the test group ( value < 0.05). Over 90% of PCoA Acute users were satisfied with its use.
The study confirmed that PCoA Acute is safe and effective. It is well accepted by patients and medical staff. Its use can optimize pain medication administration.
术后急性疼痛会延迟恢复并增加发病率和死亡率。护士传统的术后镇痛药物给药方式往往效率低下。本研究评估了一种新型患者自控镇痛分配器PCoA Acute的安全性、有效性和易用性。
在三个医疗中心进行了一项对照性试点研究。计划进行择期手术的患者被分为两组，两组均服用口服镇痛药：对照组（n = 43），由护士分发阿片类药物；试验组（n = 27），通过PCoA Acute分发阿片类药物。记录服药数据。调查静息和活动时的疼痛评分。
未记录到严重不良事件。平均服药时间从对照组的8∶58分钟减少到试验组的1∶17分钟（P值<0.05）。试验组服用的药丸比对照组多67%，表明依从性提高。试验组患者的疼痛评分显著更低（P值<0.05）。超过90%的PCoA Acute使用者对其使用感到满意。
该研究证实PCoA Acute是安全有效的。它得到了患者和医护人员的广泛认可。其使用可以优化疼痛药物管理。
