[1]钟淑姣,黄冰瑛,章英.行经胸段全植入鞘内药物输注系统治疗患者一例的护理[J].军事护理,2023,40(07):110-112.[doi:10.3969/j.issn.2097-1826.2023.07.026]
　ZHONG Shujiao,HUANG Bingying,ZHANG Ying.Nursing Care for A Patient Treated with Intrathecal Drug Delivery System via Transthoracic Total Implantation[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(07):110-112.[doi:10.3969/j.issn.2097-1826.2023.07.026]
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行经胸段全植入鞘内药物输注系统治疗患者一例的护理
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年07期
页码:
110-112
栏目:
病例报告
出版日期:
2023-07-15

文章信息/Info

Title:
Nursing Care for A Patient Treated with Intrathecal Drug Delivery System via Transthoracic Total Implantation
文章编号:
2097-1826(2023)07-0110-03
作者:
钟淑姣1; 黄冰瑛2; 章英3
(1.浙江省肿瘤医院 头颈外科,浙江 杭州 310022; 2.浙江大学医学院附属第二医院 肝胆外科,浙江 杭州 310009; 3.浙江省肿瘤医院 乳腺外科)
Author(s):
ZHONG Shujiao1; HUANG Bingying2; ZHANG Ying3
(1.Department of Head and Neck Surgery,Zhejiang Cancer Hospital,Hangzhou 310022,Zhejiang Province,China; 2.Department of Hepatobiliary Surgery,The Second Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310009,Zhejiang Province,China; 3.Department of Breast Surgery,Zhejiang Cancer Hospital)
关键词:
癌痛;  鞘内药物输注系统;  胸段;  护理
Keywords:
cancer pain;  intrathecal drug delivery system;  thoracic spine;  nursing
分类号:
R473.73
DOI:
10.3969/j.issn.2097-1826.2023.07.026
文献标志码:
A
摘要:
总结1例难治性癌痛患者行经胸段入路全植入式鞘内药物输注系统(intrathecal drug delivery systems,IDDS)治疗的护理经验。主要包括:协助吗啡测试; 正确辨别呼吸抑制原因,采取指向性措施; 全面观察,早期识别脊髓损伤; 落实集束化干预措施,预防颅内感染; 实施全程心理支持,改善心理痛苦; 开展针对性科普及随访,提高居家管理能力。经过治疗及护理后,患者疼痛症状得到有效控制,日常生活自理能力极大提高,随访期间无并发症发生。
Abstract:
This study aimed to summarize the nursing experience of caring for a patient with refractory cancer pain who was treated with a intrathecal drug delivery system via transthoracic total implantation.The experience mainly included assisting in morphine testing,correctly identifying the causes of respiratory depression and taking targeted measures,comprehensively observing and early identifying spinal cord injury,implementing clustered intervention measures to prevent intracranial infection,implementing whole-process psychological support to relieve mental sufferings,carrying out targeted science popularization and follow-up to improve home management ability.After treatment and nursing care,the patient's pain symptoms were effectively controlled,and the self-care ability of daily life was greatly improved.No complications occurred during the follow-up.

参考文献/References:

[1] VAYNE-BOSSERT P,AFSHARIMANI B,GOOD P,et al.Interventional options for the management of refractory cancer pain——what is the evidence?[J].Support Care Cancer,2016,24(3):1429-1438.
[2] 毛鹏,郑春英,樊碧发.可植入鞘内药物输注系统置换术后出现吗啡戒断症状1例[J].中国疼痛医学杂志,2019,25(11):879-880.
[3] 罗秀英,万丽.重度癌痛患者鞘内植入镇痛装置居家管理的可行性分析[J].中华疼痛学杂志,2021,17(5):477-483.
[4] 袁明,杜海娜,王南瑶,等.氢吗啡酮PCA治疗晚期结直肠癌腹部难治性癌痛的临床观察[J].实用肿瘤杂志,2022,37(3):263-266.
[5] DIDIER B,ELISABETH L,IVAN K.Prevalence and incidence of chronic pain with or without neuropathic characteristics in patients with cancer.[J].Pain,2017,158(6):1118-1125.
[6] GABRIEL C.Pancreatic cancer related pain:review of pathophysiology and intrathecal drug delivery systems for pain management[J].Pain Physician,2021,24(5):E583-E594.
[7] 张励才.麻醉解剖学[M].北京:人民卫生出版社,2016:222.
[8] 杨敏,刘朝晖,王志杰,等.分期呼吸训练在高位脊髓损伤患者肺康复护理中的应用[J].中国实用护理杂志,2021,37(27):2134-2139.
[9] 贾宏彬,宗健,孙含哲,等.远程无线自控鞘内镇痛系统在晚期癌痛患者的疗效观察[J].临床麻醉学杂志,2013,29(7):672-674.
[10]逯晓蕾,周红俊,刘根林,等.颈髓损伤后血压和心率变化的有关研究[J].中国康复理论与实践,2014,20(2):153-155.

备注/Memo

备注/Memo:
【 收稿日期 】 2023-03-23 【 修回日期 】 2023-06-13
【 基金项目 】 浙江省卫生厅课题(2022ky116)
【 作者简介 】 钟淑姣,硕士在读,主管护师,电话:0571-88128101
更新日期/Last Update: 2023-07-15