Effect of intelligentized patient-controlled analgesia management on quality of postoperative analgesia
10.3760/cma.j.issn.0254-1416.2018.09.014
- VernacularTitle:智能化PCA管理对患者术后镇痛质量的影响
- Author:
Hanzhong CAO
1
;
Wenqi HUANG
;
Shuling PENG
;
Lixin XU
;
Sheng WANG
;
Jing ZHANG
;
Ye CHEN
;
Xiaohong CHEN
;
Shouzhang SHE
Author Information
1. 226361,南通大学附属肿瘤医院麻醉科
- Keywords:
Analgesia,patient-controlled;
Pain;
postoperative;
Artificial intelligence
- From:
Chinese Journal of Anesthesiology
2018;38(9):1077-1081
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of intelligentized patient-controlled analgesia ( PCA) management on the quality of postoperative analgesia in the patients. Methods A total of 6601 patients who underwent postoperative PCA from January 1, 2015 to December 31, 2017 searched from the intelli-gentized PCA system database were selected as intelligentized PCA management group ( I group) , and then were divided into 3 subgroups according to the year: 2015 subgroup ( n=2221 ) , 2016 subgroup ( n=2152) and 2017 subgroup (n=2228). A total of 1235 patients who underwent PCA which was mainly performed by a department of anesthesiology in the postoperative analgesia-related multi-center questionnaire from April 11, 2016 to April 22, 2016 in 12 grade A tertiary hospitals in Guangdong Province were select-ed as the traditional PCA management group (C group). The development of moderate and severe pain, nausea and vomiting, over-sedation at rest and during activity and patient′s satisfaction were recorded on 1st and 2nd days after operation. Results Compared with C group, the incidence of moderate and severe pain, nausea and vomiting and over-sedation at rest and during activity was significantly decreased, and the rate of patient′s satisfaction was increased at each time point after operation in I group ( P<0. 05 or 0. 01) . Com-pared with 2015 subgroup, the incidence of moderate and severe pain at rest and severe pain during activity was significantly decreased in 2016 and 2017 subgroups ( P<0. 05 or 0. 01) , and the incidence of nausea and vomiting was significantly increased in 2017 subgroup ( P<0. 05) . Compared with 2016 subgroup, the incidence of nausea and vomiting was significantly increased in 2017 subgroup (P<0. 05). Conclusion Intelligentized PCA management can improve the efficacy of PCA, mitigates the occurrence of adverse reac-tions and raise the quality of postoperative analgesia in the patients.
