The Clinical Study Of Wireless Intelligent PCA On The Postoperative Intravenous Analgesia Of Patients Undergoing Upper Abdominal Surgery

ObjectiveThe aim of this study was to investigate the efficiency of the application of wireless intelligent PCA on the postoperative intravenous analgesia of patients undergoing upper abdominal surgery.MethodsThis research selected 100 patients who underwent upper abdominal surgery of ASA I-Ⅲlevels from January 2016 to December 2018,were randomly divided into 4 groups（n=25 each）,were received general analgesia.PM group patients were treated by hydromorphone with traditional PCA pump;IM group patients were treated by hydromorphone with wireless intelligent PCA pump;PS group patients were treated by sufentanil with traditional PCA pump;IS group patients were treated by sufentanil with wireless intelligent PCA pump.After general anesthesia,patients were treated the first dose of analgesic drugs,continuously intravenous infusion drugs for 48 h.All the analgesia pump speed 2 mL/h during 48 h.The does of addition was 1.5 mL,locking time of 20 min.Then the respiration,circulation,sedation,pain scores and side effects were perioperatively monitored in all groups.Recorded the satisfaction of patients（excellent,good,average,poor）and the number of callback of anesthetist.Results1.There was no significantly different in general data comparison between the four groups of patients.2.The SPO₂ of the PS group was significantly lower at 2 h and 24 h after analgesia than that before analgesia,P<0.05.The RR of the PS group was significantly lower at 2 h and 24 h after analgesia than that before analgesia,P<0.05.The R-VAS of the PS group were significantly lower at 24 h and 48 h after analgesia than that at 12 h after analgesia,P<0.05.The M-VAS of the PS group were significantly lower at 24 and 48 h after analgesia than that at 12 h after analgesia,P<0.05.The SPO₂ of the PS group was significantly lower at 2 h and 24 h after analgesia than the PM group at 2 h and 24 h after analgesia,P<0.05.The M-VAS and R-VAS of the PS group were significantly lower at 48h after analgesia than the PM group at 48 h after analgesia,P<0.05.3.The SPO₂ of the IS group was significantly lower at 2 h and 24 h after analgesia than that before analgesia,P<0.05.The RR of the IS group was significantly lower at 2 h and 24 h after analgesia than that before analgesia,P<0.05.The R-VAS of the IS group were significantly lower at 24 h and 48 h after analgesia than that at 12 h after analgesia,P<0.05.The M-VAS of the IS group were significantly lower at 24 and 48 h after analgesia than that at 12 h after analgesia,P<0.05.The SPO₂ and RR of IS group was significantly lower at 2 h than the IS group at 2 h,P<0.05.4.The R-VAS of the PM group was significantly higher at 12 h after analgesia than that at 2 h after analgesia,P<0.05;the R-VAS of the IM group was significantly higher at12 h after analgesia than that at 2 h after analgesia,P<0.05;The M-VAS of the PM group was significantly was significantly higher at 12 h after analgesia than that at 2 h after analgesia,P<0.05.The M-VAS of the IM group was significantly higher at 12 h after analgesia than that at 2 h after analgesia,P<0.05.There was no significant difference between the two groups.5.The SPO₂ of the PS group was significantly lower at 2 h and 24 h after analgesia than that before analgesia,P<0.05.The SPO₂ of the IS group was significantly lower at 2h and 24 h after analgesia than that before analgesia,P<0.05.The RR of the PS group was significantly lower at 2 h and 24 h after analgesia than that before analgesia,P<0.05.The RR of the IS group was significantly lower at 2 h and 24 h after analgesia than that before analgesia,P<0.05.The R-VAS of the PS group were significantly lower at 24 h and 48 h after analgesia than that at 12 h after analgesia,P<0.05.The R-VAS of the IS group were significantly lower at 24 h and 48 h after analgesia than that at 12 h after analgesia,P<0.05.The M-VAS of the PS group were significantly lower at 24 and 48 h after analgesia than that at 12 h after analgesia,P<0.05.The M-VAS of the IS group were significantly lower at 24 and 48 h after analgesia than that at 12 h after analgesia,P<0.05.There was no significant difference between the two groups.6.The rate of nausea in the PS group was higher than that in the PM group,P<0.05;the rate of nausea in the PS group was higher than that in the IM group,P<0.05;the rate of nausea in the IS group was higher than that in the PM group,P<0.05;the rate of nausea in the IS group was higher than that in the IM group,P<0.05;the rate of pruritus in the PS group was higher than that in the PM group,P<0.05;the rate of pruritus in the PS group was higher than that in the IM group,P<0.05;the rate of pruritus in the IS group was also higher than that in the PM group,P<0.05;the rate of pruritus in the IS group was higher than that in the IM group,P<0.05.7.The excellent evaluation of the IM group was more than that of the PM group,P<0.05;the excellent evaluation of the IM group was more than that of the PS group,P<0.05;the excellent evaluation of the IS group was more than that of the PM group,P<0.05;the excellent evaluation of the IS group was more than that of the PS group.P<0.05.8.The number of zero callback of the IM group was more than that of the PM group,P<0.05;The number of zero callback of the IM group was more than that of the PS group,P<0.05;the The number of zero callback of the IS group was more than that of the PM group,P<0.05;The number of zero callback of the IS group was more than that of the PS group.P<0.05.The number of once callback of the IM group was less than that of the PM group,P<0.05;The number of once callback of the IM group was less than that of the PS group,P<0.05;the The number of once callback of the IS group was less than that of the PM group,P<0.05;The number of noce callback of the IS group was less than that of the PS group.P<0.05.ConclusionThis study found Sufentanil is superior to hydromorphone in postoperative analgesic of patients delivered by continous intravenous;but the side effects of hydromorphone groups may be less than that of sunfentanil groups.However,there is no significantly difference between hydromorphone groups and sufentanil groups in satisfaction,but the wireless intelligent PCA groups is superior to traditional PCA groups,and,the number of callback of wireless intelligent PCA groups is significantly less than that of thre traditional PCA groups.We conclude that wireless intelligent PCA is superior to traditional PCA in satisfaction of patient postoperative analgesia.