Langlade A
Service d'anesthésie-réanimation, hôpital Tenon, Paris, France.
Ann Fr Anesth Reanim. 1998;17(6):585-98. doi: 10.1016/s0750-7658(98)80042-7.
Patient-controlled analgesia refers to a relatively new approach to morphine delivery in which patients are allowed to self-administer small doses of an opioid, to achieve adequate relief of postoperative pain. The main benefit is to reduce fluctuations in opioid plasma concentrations. A matter for worry remains the occurrence of side effects, especially ventilatory depression. In order to guarantee the efficacy and safety of this technique, the education of patients and nurses is essential. Protocols are required, specifying the use of this technique (prescription, patient monitoring, treatment of side effects).
患者自控镇痛是指一种相对较新的吗啡给药方法，即允许患者自行给予小剂量阿片类药物，以充分缓解术后疼痛。其主要益处是减少阿片类药物血浆浓度的波动。令人担忧的一个问题仍然是副作用的发生，尤其是呼吸抑制。为了保证该技术的有效性和安全性，对患者和护士进行教育至关重要。需要制定方案，明确该技术的使用方法（处方、患者监测、副作用治疗）。
