摘要
目的探讨麻醉护理团队主导的多学科疼痛管理(PMDT)在肝移植患者围手术期中的应用效果。方法采用便利抽样法,选择2018年1月—2020年12月首都医科大学附属北京友谊医院收治的100例肝移植患者为研究对象,按照随机数字表法分为对照组和观察组,各50例。对照组患者围手术期实施常规疼痛管理,观察组患者在对照组的基础上实施麻醉护理团队主导的PMDT。比较两组患者麻醉相关指标及镇痛泵使用情况。结果观察组患者的手术麻醉时间、麻醉复苏时间、自控镇痛泵使用时间均短于对照组,自控镇痛泵药物舒芬太尼和右旋美托咪啶的用量均少于对照组,差异均有统计学意义(P<0.05)。结论麻醉护理团队主导的PMDT可以有效缩短肝移植手术麻醉时间,减少患者术后镇痛药物用量,提高镇痛效果。
Objective To explore the effect of multidiscipline team for pain(PMDT)led by anesthesia nursing team in perioperative period of liver transplantation patients.Methods From January 2018 to December 2020,100 patients with liver transplantation who were admitted to Beijing Friendship Hospital affiliated to Capital Medical University were selected as the study subject by convenience sampling.According to the method of random number table,the patients were divided into the control group and the observation group,50 cases in each.The patients in the control group received routine pain management during the perioperative period,and the patients in the observation group received PMDT led by the anesthesia nursing team on the basis of the patients in the control group.The anesthesia related indexes and the use of analgesia pump were compared between the two groups.Results The operation anesthesia time,anesthesia resuscitation time,and the use time of the patient-controlled analgesia pump in the observation group were shorter than those in the control group,the dosage of sufentanil and dexmedetomidine in the patient-controlled analgesia pump was lower than that in the control group,the above differences were statistically significant(P<0.05).Conclusions PMDT led by anesthesia nursing team can effectively shorten the anesthesia time of liver transplantation,reduce the dosage of postoperative analgesics,and improve the analgesic effect.
作者
朱欣艳
张屈云
史冬妮
侯海军
Zhu Xinyan;Zhang Quyun;Shi Dongni;Hou Haijun(Department of Anesthesiology,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)
出处
《中华现代护理杂志》
2022年第32期4462-4466,共5页
Chinese Journal of Modern Nursing
基金
首都医科大学附属北京友谊医院院启动(yyqdkt2017-hl4)。
关键词
肝移植
多学科疼痛管理
麻醉护理团队
镇痛
Liver transplantation
Multidisciplinary team for pain
Anesthesia nursing team
Analgesia
作者简介
通信作者:朱欣艳,Email:zhuxinyan1129@163.com。
