内科

目的对比常规镇痛与自控镇痛对晚期肺癌患者镇痛的效果。方法选择33例在我院住院治疗的晚期肺癌伴疼痛患者，分为两组，常规组（15例）采用肌注芬太尼0.05 mg+曲马多50 mg，可重复给药；PCA组（18例）采用芬太尼0.4 mg+曲马多400 mg+2.5mg氯哌啶+生理盐水100mL，通过静脉系统电子泵给药。采用自我报告的形式完成疼痛症状及缓解满意度的量表评分，比较两组患者的疼痛症状及疼痛缓解满意度。结果在接受镇痛治疗2 d及3 d后，PCA组患者的疼痛症状轻于常规组（P＜0.05），PCA组患者的疼痛缓解满意度高于常规镇痛组（P＜0.05）。结论与传统的常规镇痛方法比较，自控镇痛术能更有效地控制晚期肺癌患者的疼痛发作症状。

ObjectiveTo investigate the difference between patient-controlled analgesia (PCA) and conventional analgesia for the pain in patients with advanced lung cancer.Methods33 patients with advanced lung cancer who suffer in pain during the hospitalization were allocated into PCA group(18 cases) and conventional group(15 case), in the conventiond group, the patients were giren Fentanyl 0.05mg plus Tramadol 50mg by in tramuscular in jection and can be repeated administration; in the PCA group, the patients were girvn Fentanyl 0.4mg plus Tramadol 400mg plus chlorl piperidine 205mg plus normal Salne looml by electronil pump of venous sgstem. The scores of satisfaction scale and symptom checklist were compared between the two groups.ResultsCompared with the conventional group, pain symptoms was lighter and satisfaction score was higher in the PCA group after treatment for 2 or 3 days（P<0.05).ConclusionCompared with conventional analgesia,PCA exhibits a better effect to relieve the pain of patients with advanced lung cancer.

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