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[模糊逻辑与术后疼痛]

[Fuzzy logic and postoperative pain].

作者信息

Carregal A, Figueira A, Núñez M, Carollo A, Lorenzo A, Rey M, González G

机构信息

Servicio de Anestesiología y Reanimación, Hospital do Meixoeiro, Vigo.

出版信息

Rev Esp Anestesiol Reanim. 1997 Jun-Jul;44(6):215-7.

PMID:9304148
Abstract

OBJECTIVE

To apply a fuzzy logic expert control system for the treatment of postoperative pain in a clinical setting.

MATERIAL AND METHODS

A system was designed consisting of a perfusion pump guided by a fuzzy logic computer interface to regulate the perfusion of alfentanil in accordance with the patient's pain response. The system was also equipped with a safety device that halted perfusion in case of desaturation, bradypnea or heart rate or blood pressure variations greater than 25%. The system was used in the first 90 minutes after surgery in a patient who underwent bilateral saphenectomy.

RESULTS

All system functions worked properly, maintaining the target analgesic values (visual analog scale < or = 2) 77% of the time.

CONCLUSION

It is possible to use fuzzy logic to obtain adequate treatment of postoperative pain.

摘要

目的

在临床环境中应用模糊逻辑专家控制系统治疗术后疼痛。

材料与方法

设计了一个系统,该系统由一个由模糊逻辑计算机接口引导的灌注泵组成,以根据患者的疼痛反应调节阿芬太尼的灌注。该系统还配备了一个安全装置,在出现血氧饱和度降低、呼吸过缓或心率或血压变化超过25%的情况下停止灌注。该系统在一名接受双侧大隐静脉切除术的患者术后的前90分钟内使用。

结果

所有系统功能均正常运行,77%的时间维持了目标镇痛值(视觉模拟评分≤2)。

结论

使用模糊逻辑有可能获得对术后疼痛的充分治疗。

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