Email Alert RSS
Volume 15 Issue 2
Mar.  2024
Turn off MathJax
Article Contents
Article Navigation >  Medical Journal of Peking Union Medical College Hospital  > 2024  >  15(2): 239-245
ZHAO Lin, REN Liying, NIE Weihua, CHEN Yaqi, ZHANG Jie, ZHANG Shengjie, WANG Yingli, DIAO Cuicui, MA Huiying, ZHANG Zheng, ZHOU Li, SHEN Le, WANG Huizhen, HUANG Yuguang. Postoperative Patient-controlled Analgesia: Thirty Years of Clinical Experience in Peking Union Medical College Hospital[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(2): 239-245. doi: 10.12290/xhyxzz.2023-0600
Citation: ZHAO Lin, REN Liying, NIE Weihua, CHEN Yaqi, ZHANG Jie, ZHANG Shengjie, WANG Yingli, DIAO Cuicui, MA Huiying, ZHANG Zheng, ZHOU Li, SHEN Le, WANG Huizhen, HUANG Yuguang. Postoperative Patient-controlled Analgesia: Thirty Years of Clinical Experience in Peking Union Medical College Hospital[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(2): 239-245. doi: 10.12290/xhyxzz.2023-0600
shu

Postoperative Patient-controlled Analgesia: Thirty Years of Clinical Experience in Peking Union Medical College Hospital

doi: 10.12290/xhyxzz.2023-0600
  • 1.

    Operating Room, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 2.

    Director of General Office of Institute of Clinical Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 3.

    Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

Funds:

National High Level Hospital Clinical Research Funding 2022-PUMCH-B-007

More Information
  • Corresponding author: WANG Huizhen, E-mail: whzhen72@126.com; HUANG Yuguang, E-mail: garypumch@163.com
  • Received Date: 2023-12-08
  • Accepted Date: 2024-01-02
    • Available Online: 2024-02-05
  • Publish Date: 2024-03-30
    Abstract
  • Postoperative pain seriously affects the recovery process of patients, resulting in prolonged hospital stay and increased care costs. Appropriate application of patient-controlled analgesia devices can effectively relieve perioperative acute pain. In 1994 patient-controlled analgesia began to be used in Peking Union Medical College Hospital, and the Acute Pain Service Working Group was established in 2004. With the cooperation of anesthesiologists and specialist nurses, the group jointly has implemented the whole process and standardized management based on patient-controlled analgesia, and constantly improved and innovated working methods, laying a solid foundation for the development of postoperative pain management. This paper systematically reviews and summarizes the work from the aspects of clinical focus, nursing management experience, promotion and dissemination of pain treatment concepts, and development of acute pain service model under the new situation, with the hope of providing valuable reference for comprehensively strengthening pain management in the process of diagnosis and treatment, and enhancing patients' satisfaction with perioperative analgesia services.
    • FullText(HTML)
  • loading
    • References(17)
  • [1] Van Boekel R L M, Steegers M A H, Verbeek-Van Noord I, et al. Acute pain services and postsurgical pain management in the Netherlands: a survey[J]. Pain Pract, 2015, 15(5): 447-454. doi:  10.1111/papr.12192
    [2] 张晓光, 郄文斌, 屠伟峰, 等. 围术期目标导向全程镇痛管理中国专家共识(2021版)[J]. 中华疼痛学杂志, 2021, 17(2): 119-125. doi:  10.3760/cma.j.cn101658-20201016-00005

    Zhang X G, Xi W B, Tu W F, et al. Expert consensus for comprehensive goal-directed perioperative analgesia management in China (2021)[J]. Chin J Painol, 2021, 17(2): 119-125. doi:  10.3760/cma.j.cn101658-20201016-00005
    [3] Sechzer P H. Objective measurement of pain[J]. Anesthesiology, 1968, 29(1): 209. doi:  10.1097/00000542-196801000-00104
    [4] 佘守章, 黄宇光. 患者自控镇痛技术在我国发展的回顾与临床策略前瞻[J]. 中华疼痛学杂志, 2018, 14(4): 247-250. doi:  10.3760/cma.j.issn.1672-9633.2018.04.003

    She S Z, Huang Y G. Retrospection of development and prospective clinical strategy of patient-controlled analgesia in China[J]. Chin J Painol, 2018, 14(4): 247-250. doi:  10.3760/cma.j.issn.1672-9633.2018.04.003
    [5] 申乐, 黄宇光. 术后疼痛管理的发展与变革[J]. 中国科学: 生命科学, 2021, 51(8): 957-962. https://www.cnki.com.cn/Article/CJFDTOTAL-JCXK202108011.htm

    Shen L, Huang Y G. Postoperative pain management: past, present and future[J]. Sci Sin (Vitae), 2021, 51(8): 957-962. https://www.cnki.com.cn/Article/CJFDTOTAL-JCXK202108011.htm
    [6] 马璐璐, 张秀华. 关注术后镇痛和镇痛药的合理应用[J]. 药物不良反应杂志, 2022, 24(8): 393-395. doi:  10.3760/cma.j.cn114015-20220520-00450

    Ma L L, Zhang X H. Focus on postoperative analgesia and rational use of analgesics[J]. Adverse Drug React J, 2022, 24(8): 393-395. doi:  10.3760/cma.j.cn114015-20220520-00450
    [7] Xiao H, Liu H, Liu J, et al. Pain prevalence and pain management in a Chinese hospital[J]. Med Sci Monit, 2018, 24: 7809-7819. doi:  10.12659/MSM.912273
    [8] Johnson L R, Magnani B, Chan V, et al. Modifiers of patient-controlled analgesia efficacy. I. Locus of control[J]. Pain, 1989, 39(1): 17-22. doi:  10.1016/0304-3959(89)90170-X
    [9] 罗爱伦. 病人自控镇痛: 镇痛治疗新概念[M]. 北京: 北京医科大学中国协和医科大学联合出版社, 1999: 98-127.

    Luo A L. Patient controlled analgesia-New concept of analgesic treatment[M]. Beijing: Beijing Medical University China Union Medical University Joint Publishing House, 1999: 98-127.
    [10] 裴丽坚, 桑诺尔, 高鲜丽, 等. 女性术后吗啡静脉镇痛泵中加入昂丹司琼不能减少术后恶心呕吐[J]. 基础医学与临床, 2014, 34(4): 519-522. https://www.cnki.com.cn/Article/CJFDTOTAL-JCYL201404020.htm

    Pei L J, Sang N E, Gao X L, et al. Ondansetron added to intravenous morphine analgesia pump could not reduce postoperative nausea and vomiting in female patients[J]. Basic Clin Med, 2014, 34(4): 519-522. https://www.cnki.com.cn/Article/CJFDTOTAL-JCYL201404020.htm
    [11] 白冰, 裴丽坚, 张越伦, 等. 吗啡静脉镇痛泵中加入昂丹司琼在女性术后恶心呕吐预防中的应用[J]. 中国医学科学院学报, 2018, 40(3): 373-377. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYKX201803013.htm

    Bai B, Pei L J, Zhang Y L, et al. Adding ondansetron in morphine intravenous analgesia pump for prevention of postoperative nausea and vomiting in women[J]. Acta Acad Med Sin, 2018, 40(3): 373-377. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYKX201803013.htm
    [12] 洪溪, 黄宇光, 罗爱伦. 术后镇痛的规范化管理[J]. 中华麻醉学杂志, 2005, 25(10): 798-799. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHMZ200510032.htm

    Hong X, Huang Y G, Luo A L. Standardized management of postoperative analgesia[J]. Chin J Anesthesiol, 2005, 25(10): 798-799. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHMZ200510032.htm
    [13] 王惠珍, 王英丽, 张圣洁, 等. 不同医务人员对PCA泵使用方法认知度的调查研究[J]. 中国医学装备, 2017, 14(8): 39-42. https://www.cnki.com.cn/Article/CJFDTOTAL-YXZB201708012.htm

    Wang H Z, Wang Y L, Zhang S J, et al. The investigation on the cognition degree about application method of PCA pump for different medical personnel[J]. Chin Med Equip, 2017, 14(8): 39-42. https://www.cnki.com.cn/Article/CJFDTOTAL-YXZB201708012.htm
    [14] Abrolat M, Eberhart L H J, Kalmus G, et al. Patient-controlled analgesia (PCA): an overview about methods, handling and new modalities[J]. Anasthesiol Intensivmed Notfallmed Schmerzther, 2018, 53(4): 270-280. doi:  10.1055/s-0043-104665
    [15] 申乐, 黄宇光. 疼痛综合管理试点工作中麻醉学科的担当[J]. 临床麻醉学杂志, 2023, 39(2): 117-118. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMZ202302001.htm

    Shen L, Huang Y G. The role of anesthesia discipline in the pilot work of comprehensive pain management[J]. J Clin Anesthesiol, 2023, 39(2): 117-118. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMZ202302001.htm
    [16] Wirz S, Seidensticker S, Shtrichman R. Patient-controlled analgesia (PCA): intravenous administration (Ⅳ-PCA) versus oral administration (Oral-PCA) by using a novel device (PCoA® acute) for hospitalized patients with acute postoperative pain-a comparative retrospective study[J]. Pain Res Manag, 2021, 2021: 2542010.
    [17] 中国共产党中央委员会, 中华人民共和国国务院. "健康中国2030" 规划纲要[J]. 中国实用乡村医生杂志, 2017, 24(7): 1-12. https://xuewen.cnki.net/CCND-ZYBR202310260011.html

    Central Committee of the CPC, State Council of the PRC. Outline of the healthy China 2030 plan[J]. Chin Pract J Rural Doct, 2017, 24(7): 1-12. https://xuewen.cnki.net/CCND-ZYBR202310260011.html
    • Relative Articles(0)
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(2)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (1384) PDF downloads(215) Cited by()
    Proportional views
    Related
    Links: National Health Commission of the People's Republic of China Chinese Academy of Medical Sciences(CAMS) AMLC Check CNKI Database CNKI Term Online Chinese General Practice
    Address：Room 302,Third Floor,Building 7, No. 1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing 100730, China
    Tel：010-69154261/4262
    E - mail：medj@pumch.cn
    mjpumch@126.com
    Copyright of website：Editorial Office of Medical Journal of Peking Union Medical College Hospital

    Supported by: Beijing Renhe Information Technology Co. Ltd    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return