国际麻醉学与复苏杂志   2017, Issue (2): 0-0
    
小儿术后静脉自控镇痛安全性探讨
金平, 石翊飒1()
1.兰州大学第二临床医学院
Analysis of the safety of patient controlled intravenous analgesia in pediatric
 全文:
摘要:

背景 阿片类药物为主的小儿静脉自控镇痛能有效缓解术后中重度疼痛,提高患儿及家属的满意度,改善预后。 目的 关注小儿术后静脉自控镇痛呼吸抑制相关高危因素和具有争议性的问题,提高小儿术后疼痛治疗的安全性和有效性,确保患儿用药安全。 内容 受阿片类药物副作用、术后镇痛实施管理和镇痛装置自身等多种不良因素的影响,尤其是药物引起的呼吸抑制,使小儿术后静脉自控镇痛的安全性备受关注。 趋向 有效预防和治疗小儿术后静脉自控镇痛副作用尤为重要。

关键词: 小儿; 静脉自控镇痛; 呼吸抑制; 安全性
Abstract:

Background The use of opioid-based intravenous controlled analgesia in children helps to relieve moderate to severe postoperative pain, helps to improve the satisfaction of children and their families and improves the prognosis. Objective Investigate the safety and efficacy of intravenous controlled-analgesia induced respiratory depression in children and to improve the safety and efficacy of postoperative pain management in pediatric. Content It consists of side effects of opiods, postoperative analgesia management and analgesic itself and other adverse factors, especially drug-induced respiratory depression in children after intravenous controlled-analgesic safety concern. Trend The trend of effective prevention and treatment of postoperative intravenous patient-controlled analgesic side effects is particularly important.

Key words: Pediatric; Patient controlled intravenous analgesia; Respiratory depression; Safety