Nurse-Administered Subcutaneous Morphine Is a Satisfactory Alternative to Intravenous Patient-Controlled Analgesia Morphine After Cardiac Surgery
Nurse-Administered Subcutaneous Morphine Is a Satisfactory Alternative to Intravenous Patient-Controlled Analgesia Morphine After Cardiac Surgery
复制标题
护士皮下注射吗啡是心脏手术后患者静脉自控镇痛吗啡的令人满意的替代方案
作者：
Andrew J. Munro;G. Long;J. Sleigh
对于急性术后疼痛，没有IV患者自控镇痛（IV PCA）与护士皮下注射（NA SC）吗啡的比较。我们对80例心脏手术患者进行了一项前瞻性、随机、对照临床试验，以比较IV PCA与NA SC吗啡用于术后疼痛控制的效果。视觉模拟量表（VAS）的疼痛评分在休息和运动，每日口头疼痛缓解评分，副作用没有显着差异。两组的总吗啡需求量无显著差异。物理治疗师对胸部物理治疗镇痛效果的评估显示，两组之间无差异。我们的结论是，NA SC吗啡，按需管理（每小时），是一个令人满意的替代静脉PCA吗啡心脏手术后。含义：在一项前瞻性随机研究中，我们发现护士皮下注射吗啡是心脏手术后静脉自控镇痛的一种令人满意的替代方法。（Anesth Analg 1998;87：11-5）
There are no comparisons of IV patient controlled analgesia (IV PCA) versus nurse-administered subcutaneous (NA SC) morphine for acute postoperative pain. We undertook a prospective, randomized, controlled clinical trial of 80 cardiac surgical patients to compare IV PCA with NA SC morphine for postoperative pain control. Visual analog scale (VAS) pain scores at rest and with movement, daily verbal pain relief scores, and side effect profiles were not significantly different. Total morphine requirements in the two groups were not significantly different. A physiotherapist's evaluation of the effectiveness of analgesia for chest physiotherapy revealed no difference between the two groups. We conclude that NA SC morphine, administered as required (up to hourly), is a satisfactory alternative to IV PCA morphine after cardiac surgery. Implications: In a prospective, randomized study, we have shown that nurse-administered subcutaneous morphine is a satisfactory alternative to IV patient-controlled analgesia after cardiac surgery. (Anesth Analg 1998;87:11-5)