Fieseler H G, Bodenschatz K, Petermann C
Klinik für Allgemein-, Thorax- und Gefässchirurgie, Klinikum Darmstadt.
Chirurg. 1998 Aug;69(8):859-64; discussion 864-5. doi: 10.1007/s001040050501.
The efficiency and safety of patient-controlled analgesia (PCA) in the treatment of postoperative pain is well documented. An alternative to electrical systems is the disposable pump, which is cost effective. The aim of this study was to prove the efficiency and safety of PCA disposable pumps. Eighty patients (45 men, 35 women, mean age 50 +/- 16 years) were included and received single-use PCA pumps (Vygon Medical Products, Aachen, Germany) for postoperative pain control. A sufficient reduction in pain levels, measured by the Verbal Rating scale (VRS), was achieved in nearly all patients. For the first application, a single bolus of 7.0 +/- 2 mg piritramide (Dipidolor) was needed, the mean of treatment time was 56 +/- 31 h. We had two dropouts because of non-compliance, two patients felt dizzy, and one patient felt nauseous. Further side-effects were observed during treatment. Our study led us concluded that PCA therapy with mechanical, disposable pumps is a safe and efficient treatment for postoperative pain. Such a concept can be introduced without an "Acute Pain Service" if the staff are well trained.
患者自控镇痛（PCA）治疗术后疼痛的有效性和安全性已有充分文献记载。一次性泵是电子系统的一种替代方案，具有成本效益。本研究的目的是证明PCA一次性泵的有效性和安全性。纳入了80例患者（45例男性，35例女性，平均年龄50±16岁），并给予一次性PCA泵（德国亚琛的Vygon医疗产品公司生产）用于术后疼痛控制。几乎所有患者通过视觉模拟评分法（VRS）测量的疼痛水平都有充分降低。首次用药时，需要单次给予7.0±2mg匹米诺定（地匹哌酮），平均治疗时间为56±31小时。我们有2例因不依从退出，2例患者感到头晕，1例患者感到恶心。治疗期间观察到了其他副作用。我们的研究得出结论，使用机械一次性泵进行PCA治疗是一种安全有效的术后疼痛治疗方法。如果工作人员接受了良好培训，无需“急性疼痛服务”也可引入这样的概念。
