CN106485092A - Application of the patient-controlled intrathecal analgesic techniques combining information management in Pain Treatment - Google Patents
Application of the patient-controlled intrathecal analgesic techniques combining information management in Pain Treatment Download PDFInfo
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- CN106485092A CN106485092A CN201610933900.0A CN201610933900A CN106485092A CN 106485092 A CN106485092 A CN 106485092A CN 201610933900 A CN201610933900 A CN 201610933900A CN 106485092 A CN106485092 A CN 106485092A
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- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
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Abstract
The present invention relates to application of the patient-controlled intrathecal analgesic techniques combining information management in Pain Treatment, specifically provides a kind of PCA information management system, including server, control and monitor console, analgesia terminal and wireless base station；A kind of patient-controlled intrathecal analgesia combining information management method is additionally provided, the implantation of intrathecal PCA pump is first carried out, then patient's PCA parameter is adjusted by described PCA information management system.The present invention is eased pain using PCA administering mode combined highly effective intrathecal, while carrying out analgesia management by long-range analgesia system, analgesic effect is excellent, can effectively alleviate intractable cancer pain, reduces side effect and occurs, improves life in patients and time-to-live；Be easy to management, can remote real time monitoring and regulation and control, be conducive to the rational distribution of resources, save a large amount of human and material resources；Medical treatment cost is saved, patient burden has been alleviated, the development to promoting social harmony has been significant.
Description
Technical field
The present invention relates to the treatment of clinical pain caused by cancer and management, specifically, are related to the combination of patient-controlled intrathecal analgesic techniques
Application of the information management in Pain Treatment.
Background technology
PCA (Patient controlled analgesia, PCA) is one kind through medical personnel according to disease
People's pain degree and physical condition, pre-set the dosage of analgesic, then a kind of sore place for transferring to patient's " self-management "
Reason technology.PCA is the better method of modern pain therapy, is the important means of Post-operation Pain Relief.According to PCA method of administration
Difference, is classified as：Patient controlled epidural analgesia, vein PCA, intrathecal PCA, neuropile patient
Controlled analgesia and subcutaneous PCA etc..Every kind of PCA method of administration all has its own pluses and minuses.
Cancer pain is the sensation that painful area needs that the information that repairs or adjust causes after passing to nerve center, is to cause
One of the reason for cancer patients with terminal is main painful.Its symptom and sign includes comprehensive pain, inundant pain, with strong
Vegetative nerve abnormal, with psychology exception, companion body somatization symptom, pain and pain presence, social pain, essence simultaneously
Godhead pain etc.., typically based on drug therapy, according to clinical estimation, Advanced refractory cancer pain patient is all using larger for cancer pain
The opioid drug of dosage, adds adjuvant drug, and daily cost is in 300-500 unit, and therapeutic effect is not most good, in pain
In patient, because a variety of causes makes 80% pain not be effectively controlled.
For canurous ache patients, medical institutions need to give corresponding management.Management content includes that the pain of clear and definite patient is former
Cause, gives to treat, and analgesic effect and pain relief degree are evaluated, and works out therapeutic scheme and dosage etc. from now on, tool
Have the characteristics that time length, link is many, content is numerous and diverse.With the rising year by year of cancer morbidity, the conventional management mould of cancer pain
Contradiction between formula and clinical demand increasingly increase increasingly is projected so that the medical treatment cost of medical institutions increases, and patient is eased pain
Less effective, the service for receiving are limited, costly, and house patient is then easy to ignored, integrally causes cancer pain
It is low that patient bears serious pain, quality of life.
In sum, research can at utmost mitigate the treatment of cancer pain scheme of patient suffering, and new carcinous pain
Pain management mode is to improve patients ' life quality, mitigate medical institutions' cost and patient burden, imperative to benefit the society.
Content of the invention
The purpose of the present invention is for deficiency of the prior art, provides a kind of PCA information management system.
Another purpose of the present invention is to provide the purposes of described PCA information management system.
Another purpose of the present invention is to provide a kind of patient-controlled intrathecal analgesia combining information management method.
For realizing above-mentioned first purpose, the present invention is adopted the technical scheme that：
A kind of PCA information management system, including server, control and monitor console, analgesia terminal and wireless base station；Described server
Information transfer is carried out with control and monitor console, described control and monitor console monitors the situation of analgesia terminal by wireless base station and to obtain information anti-
Feedback；Described analgesia terminal is the PCA pump with transmission-receiving function.
Described control and monitor console is central monitoring station or area monitoring platform.
Described control and monitor console is used for collecting patient's analgesia information, and analysis is planned as a whole, and adjusts medication, control analgesia quality.
For realizing above-mentioned second purpose, the present invention is adopted the technical scheme that：
As above application of arbitrary described PCA information management system in pain management.
As above application of arbitrary described PCA information management system in Pain Treatment.
For realizing above-mentioned 3rd purpose, the present invention is adopted the technical scheme that：
A kind of patient-controlled intrathecal analgesia combining information management method, comprises the following steps：The implantation of intrathecal PCA pump is carried out,
Again patient's PCA parameter is adjusted by as above arbitrary described PCA information management system.
Further, also include to record patient's analgesia effect VAS scoring, treatment by described PCA information management system
Side reaction and the step of satisfaction afterwards.
The invention has the advantages that：
The present invention is eased pain using PCA administering mode combined highly effective intrathecal, while carrying out analgesic tube by long-range analgesia system
Reason, belongs to state, inside and outside pioneering.Clinical practice shows, after the system is adopted：
1st, analgesic effect is excellent, can effectively alleviate intractable cancer pain, reduces side effect and occurs, improves life quality and deposit
Live time；
2nd, be easy to management, can remote real time monitoring and regulation and control, be easy to many lesiones, multicenter patient unified management, for example may be used
Control of cancer pain three-level medical treatment medical centre and house medical treatment are organically combined, to intractable cancer pain patient, big medical treatment
After mechanism is processed, can the short time interior return to local basic medical unit even at home from institute, implementation network medical treatment trustship, and energy
Instruct safe and effective medication in time, save a large amount of human and material resources；
3rd, expense is saved, the averagely daily expense of patient calculated about 260 yuan/day with 3 months life cycles, with 6 months life cycles
About 170 yuan/day being calculated, medical treatment cost having been saved, patient burden is alleviated, scale was formed by 2016, such as to whole nation popularization, can
Save more than one hundred million unit's medical expenses.
Medical institutions' pipe big for torsion is not come by the application of the system, basic medical unit is unable to control or manage, patient house nothing
The difficult situation of people's pipe, improves ache in late cancer patients ' life quality and dignity of conducting oneself, and the development that promotes social harmony is had great
Meaning.
Description of the drawings
Fig. 1 is the PCA information management system schematic diagram of the present invention.
Fig. 2 is intrathecal infusion of drug schematic diagram under PCA information management.
Fig. 3 is venous drug infusion schematic diagram under PCA information management.
Specific embodiment
Below in conjunction with the accompanying drawings the specific embodiment that the present invention is provided is elaborated.
The PCA information management system of 1 present invention of embodiment
Refer to the PCA information management system schematic diagram that Fig. 1, Fig. 1 are the present invention.Described PCA information management system is hard
Part includes：Server, control and monitor console, analgesia terminal (with the PCA pump of transmission-receiving function), wireless base station, during described control and monitor console includes
Centre control and monitor console and area monitoring platform.Using LAN connection in wireless connection or institute in medical institutions.At home, community hospital, two
Level hospital, local and remote three-level Control of cancer pain connect centrally through 3G network, collect patient's analgesia information, and analysis is planned as a whole, adjusted
Whole medication, control analgesia quality.
The PCA information management system of the present invention possesses advantages below：1. can remote real time monitoring and regulation and control；2. many lesiones,
Multicenter patient is managed collectively, and saves a large amount of human and material resources；3. powerful database function, is available for clinical expert analysis scientific research.
The patient-controlled intrathecal analgesia combining information management method of 2 present invention of embodiment
The patient-controlled intrathecal analgesia combining information management method of the present invention is as follows：
1st, intrathecal PCA pump is implanted into
By cavum subarachnoidale puncture and intubation, hypodermic tunnel and infusion port are imbedded, and external wireless pc A pump completes intrathecal PCA
Analgesia (Fig. 2).
2nd, information management
Adjustment patient's PCA parameter (invalid compression number≤1 time/h, as PCA optimal parameter), while when recording postoperative each
Between section such as 1h, 6h, 12h, 24h, 1 day, 3 days, 7 days, 14 days, patient's analgesia effect VAS scoring of 30 days etc., observation patient's analgesia
Side reaction after treatment, records patient satisfaction.
The patient-controlled intrathecal analgesia combining information management method of the present invention adopts full-implantation type intrathecal medication infusion channel,
External wireless pc A pump implements remote management and regulation and control, (in institute or long-range) can manage tens of hundred patients simultaneously, it is considered to passage
Maintenance, the Reperfu- sion of medicine, can both improve efficiency and the security for using, be also convenient for strange land trustship between medical centre
Patient.
The clinical practice of 3 the inventive method of embodiment
First, research method
1 diagnostic criteria with include, exclude, rejecting standard
1.1 diagnostic criteria
1. there is clear and definite malignant tumour medical history；
2. pain VAS scoring 6 points of ＞；
1.2 inclusive criteria
1. meet diagnostic criteria；2. the age was at 20～60 years old；3. the normal person of the heart, Liver and kidney function；4. voluntarily receive to face
Bed test, and sign Informed Consent Form；5. it is expected survival more than more than March；6. morphine oral basis consumption>60mg/d.
1.3 exclusion standard
1. there are tumour, infection, edema, blood coagulation disorders person in operating position；2. cardiovascular and cerebrovascular, liver, kidney, hematopoiesis are associated with
The severe primary disease such as system, spiritual or jural disabled patient；3. allergic constitution, or known to effective prescription composition
Composition allergy sufferers；4. according to the judgement of researcher, with reducing into group possibility or other pathologies for making to complicate into group, such as work
Often variation etc. easily causes situation lost to follow-up to make environment, and as spirit and behavior disorder can not give abundant informed consent
Person；5. the patient for participating in other clinical testings in nearly month.
1.4 reject standard
Case is included but has met one below person, should reject：1. mistaken diagnosis；2. meet exclusion standard；3. scheme is not pressed
Regulation medication；4. Wu any detection keeper；5. due to the medicine using certain disabling, so that curative effect cannot be evaluated.
2 packets and treatment
Collect 60 patients for 2.1 Shanghai Chinese Medicine Hospital, wherein 30 customary intrathecal PCA analgesia information managements, and 30 is customary quiet
Arteries and veins PCA analgesia information management.According to the previous analgesic applicable cases of patient, oral Morphine consumption titration is carried out.Drip by morphine
Quantitation is converted into vein consumption and intrathecal consumption is (oral: vein: intrathecal=300: 100: 1).
After random packet, the analgesia of intrathecal PCA, Intravenous PCA analgesia is carried out respectively.Intrathecal PCA analgesia method such as 2 institute of embodiment
State.Intravenous PCA analgesia method is：Pipe is put by CVC or PICC, external wireless pc A pump, complete Intravenous PCA analgesia
(Fig. 3).By information system management, patient's PCA parameter (invalid compression number≤1 time/h, as PCA optimal parameter) is adjusted, with
The postoperative 1h of Shi Jilu, 6h, 12h, 24h, (monthly record after 30 days once until dead or most within 1 day, 3 days, 7 days, 14 days, 30 days
Long 180 days) patient's analgesia effect VAS scoring, side reaction after observation patient's analgesia therapy, record patient satisfaction.
Case 30 is respectively collected in 2.2 Shanghai Sixth Man people hospital Pain Managements, two branch center of Shanghai Ruijin Hospital department of anesthesia, its
In 15 customary intrathecals PCA analgesia information managements, 15 customary intrathecals PCA analgesia conventional managements.Ibid method carry out morphine titration change
Calculate.
After each center random packet, row intrathecal PCA is eased pain, and carries out information management, conventional management respectively.Information management is ibid
Method is carried out, and is recorded postoperative 1h, 6h, 12h, 24h, (is monthly recorded once until dead after 30 days within 1 day, 3 days, 7 days, 14 days, 30 days
Die or most long 180 days) patient's analgesia effect VAS scoring, side reaction after observation patient's analgesia therapy, record patient satisfaction, control
Treatment expense.Conventional method directly by lesion observe patient profiles, adjust medication, record postoperative 1h, 6h, 12h, 24h, 1 day, 3
My god, 7 days, 14 days, 30 days (monthly recording after 30 days once until dead or most long 180 days) patient's analgesia effect VAS scoring, see
Examine side reaction after patient's analgesia therapy, record patient satisfaction, medical expense.
2nd, result
By observing intrathecal PCA information management group 29 and Intravenous PCA information management group 30, within postoperative 7 days, both
Analgesia effect VAS scoring rough estimates data no significant difference (P>0.05), but Intravenous PCA information management group patient's side reaction
Rate is apparently higher than intrathecal PCA information management group (P<0.05), it is mainly shown as n and V, dizziness, constipation, secondary shows as urine
Retention.After one week, Intravenous PCA information management group analgesia effect is significantly lower than intrathecal PCA information management group, and with dosage
Increase, side effect is more obvious.Intrathecal PCA information management group patient satisfaction is high, because drug dose is considerably less than Intravenous PCA letter
Breath management group, expense are relatively also less.Wherein 1 intrathecal PCA information management group patient occurs because of a small amount of morphine of intrathecal application
The retention of urine, patient do not receive urethral catheterization measure, give and use dezocine instead, the retention of urine do not occur, thus be excluded that going out group.
Intrathecal PCA analgesia information management group 30 is compared with intrathecal PCA analgesia conventional management group, within postoperative 14 days, town
Pain curative effect is nothing significant difference (P>0.05), 14 days groups of intrathecal PCA analgesia information management afterwards are better than rear group of (P<0.05), intrathecal
PCA analgesia conventional management group need to repeatedly carry out institute's adjustment.Side effect and expense are nothing significant difference.Patient satisfaction intrathecal PCA is eased pain
Information management group is better than intrathecal PCA analgesia conventional management group (P<0.05).
3rd, conclusion
The information management of intrathecal PCA is substantially better than in terms of side effect, patient satisfaction, medical expense, prolonged control of pain curative effect
Intravenous PCA information management.Intrathecal PCA tradition is substantially better than in terms of intrathecal PCA information management prolonged control of pain curative effect, patient satisfaction
Management.
The system clinical practice is experienced：Using after, analgesic effect is excellent, and is easy to management, and patient is averagely daily to take
About 260 yuan/day were calculated in order to 3 months life cycles, about 170 yuan/day were calculated with 6 months life cycles, improving analgesic effect and Service Quality
While amount, medical treatment cost is saved, alleviated patient burden.Scale was formed by 2016, such as to whole nation popularization, can be saved
More than one hundred million unit's medical expenses.The application of the system can organically combine Control of cancer pain three-level medical treatment medical centre and at home medical treatment one
Rise, safe and efficient.To intractable cancer pain patient, after big medical institutions are processed, can short time interior returning to from institute work as ground layer
Medical institutions even at home, carry out network medical treatment trustship, and can instruct safe and effective medication in time, both driven basic unit's Control of cancer pain
The raising of level, can make Tablets In Patients With Cancer Pain again in the local covering for even enjoying advanced medical services at home.Thoroughly turn round
Turn especially that intractable cancer pain patient does not come in big medical institutions' pipe, basic medical unit is unable to control or manage, patient at home nobody
The difficult situation of pipe, at utmost alleviates the pain of ache in late cancer patient, and dignity of improving the quality of living and conduct oneself, to promoting society
Harmonious development is significant.
The above is only the preferred embodiment of the present invention, it is noted that for the ordinary skill people of the art
Member, on the premise of without departing from the inventive method, can also make some improvement and supplement, and these improve and supplement also should be regarded as
Protection scope of the present invention.
Claims (7)
1. a kind of PCA information management system, it is characterised in that including server, control and monitor console, analgesia terminal and wireless base station；Institute
The server that states carries out information transfer with control and monitor console, and described control and monitor console monitors the situation of analgesia terminal by wireless base station and obtains
To feedback of the information；Described analgesia terminal is the PCA pump with transmission-receiving function.
2. PCA information management system according to claim 1, it is characterised in that described control and monitor console is central monitoring station
Or area monitoring platform.
3. PCA information management system according to claim 1, it is characterised in that described control and monitor console is used for collecting patient
Analgesia information, analysis are planned as a whole, and adjust medication, control analgesia quality.
4. application of the arbitrary described PCA information management system of claim 1-3 in pain management.
5. application of the arbitrary described PCA information management system of claim 1-3 in Pain Treatment.
6. a kind of patient-controlled intrathecal is eased pain combining information management method, it is characterised in that comprise the following steps：Carry out intrathecal
PCA pump is implanted into, then adjusts patient's PCA parameter by the arbitrary described PCA information management system of claim 1-3.
7. patient-controlled intrathecal according to claim 6 is eased pain combining information management method, it is characterised in that also include to lead to
Cross described PCA information management system record patient's analgesia effect VAS scoring, side reaction and the step of satisfaction after treatment.
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| CN201610933900.0A CN106485092A (en) | 2016-10-25 | 2016-10-25 | Application of the patient-controlled intrathecal analgesic techniques combining information management in Pain Treatment |
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| CN201610933900.0A CN106485092A (en) | 2016-10-25 | 2016-10-25 | Application of the patient-controlled intrathecal analgesic techniques combining information management in Pain Treatment |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN117727438A (en) * | 2024-02-07 | 2024-03-19 | 深圳华盟智算科技有限公司 | VCPU informatization management system |
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| CN101618241A (en) * | 2008-07-03 | 2010-01-06 | 吕黄伟 | Epidural target-control automatic-control pain-relieving pump |
| CN102038550A (en) * | 2009-10-13 | 2011-05-04 | 北京大学 | Method and system for acquiring and processing physiological feedback information of user |
| CN202777301U (en) * | 2012-09-12 | 2013-03-13 | 江苏荣业科技有限公司 | Multi-parameter feedback controlled electronic infusion pump |
| CN203989260U (en) * | 2014-05-09 | 2014-12-10 | 俞卫中 | Can monitor network formula intelligent pain-relieving infusion pump patients' feeling feedback terminal |
-
2016
- 2016-10-25 CN CN201610933900.0A patent/CN106485092A/en active Pending
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101618241A (en) * | 2008-07-03 | 2010-01-06 | 吕黄伟 | Epidural target-control automatic-control pain-relieving pump |
| CN102038550A (en) * | 2009-10-13 | 2011-05-04 | 北京大学 | Method and system for acquiring and processing physiological feedback information of user |
| CN202777301U (en) * | 2012-09-12 | 2013-03-13 | 江苏荣业科技有限公司 | Multi-parameter feedback controlled electronic infusion pump |
| CN203989260U (en) * | 2014-05-09 | 2014-12-10 | 俞卫中 | Can monitor network formula intelligent pain-relieving infusion pump patients' feeling feedback terminal |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN117727438A (en) * | 2024-02-07 | 2024-03-19 | 深圳华盟智算科技有限公司 | VCPU informatization management system |
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