骨髓腔输液患者疼痛管理的研究进展

doi:10.3761/j.issn.2096-7446.2022.01.013

摘要/Abstract

摘要： 综述骨髓腔输液患者疼痛管理的研究进展,从疼痛机制、发生率、影响因素、镇痛干预的时机及方法进行阐述,旨在为完善骨髓腔输液患者的疼痛管理提供理论支持,推动国内骨髓腔输液的规范化发展。

Abstract: This paper reviewed the research progress of pain management related to intraosseous infusion,including pain mechanism,incidence,influencing factors,analgesia timing and methods. We aimed to provide theoretical support for improving the pain management of intraosseous infusion and promote the standardized development of intraosseous infusion in China.

Key words: Intraosseous, Transfusion, Pain, Management, Critical Care Nursing

詹玥, 杨旻斐, 顾鑫萍, 姚晓月. 骨髓腔输液患者疼痛管理的研究进展[J]. 中华急危重症护理杂志, 2022, 3(1): 73-77.

ZHAN Yue, YANG Minfei, GU Xinping, YAO Xiaoyue. Research progress of pain management in patients with intraosseous infusion[J]. Chinese Journal of Emergency and Critical Care Nursing, 2022, 3(1): 73-77.

参考文献

[1] 陈雅静,陈京立. 骨髓内输液在院前急救中的应用现状[J]. 中华护理杂志,2014,49(3):333-336.
Chen YJ,Chen JL.Application status of intramedullary infusion in prehospital first aid[J]. Chin J Nurs,2014,49(3):333-336.
[2] 王钰炜,张玉坤,王丽竹,等. 骨髓腔内输液通路技术的研究进展[J]. 中华危重症医学杂志(电子版),2020,13(4):305-308.
Wang YW,Zhang YK,Wang LZ,et al.Research progress of intramedullary infusion access technology[J]. Chin J Crit Med(Elec-tronic Edition),2020,13(4):305-308.
[3] Dev SP,Stefan RA,Saun T,et al.Videos in clinical medicine. Insertion of an intraosseous needle in adults[J]. N Engl J Med,2014,370(24):e35.
[4] Leidel BA,Kirchhoff C,Bogner V,et al.Comparison of intrao-sseous versus central venous vascular access in adults under resuscitation in the emergency department with inaccessible peripheral veins[J]. Resuscitation,2012,83(1):40-45.
[5] 温亚. 提高骨髓腔输液在急诊危重病人抢救中使用率的做法及效果观察[J]. 护理研究,2017,31(22):2790-2792.
Wen Y.Technique and observation on improving the use rate of intraosseous infusion in rescue of emergency critically ill patients[J]. Chin Nurs Res,2017,31(22):2790-2792.
[6] Biarent D,Bingham R,Eich C,et al.European resuscitation cou-ncil guidelines for resuscitation 2010 section 6. paediatric life support[J]. Resuscitation,2010,81(10):1364-1388.
[7] 中国医药教育协会急诊医学专业委员会,中华医学会北京心血管病学分会青年委员会. 中国骨髓腔内输液通路临床应用专家共识[J]. 中国急救医学,2019,39(7):620-624.
Emergency Medicine Committee of Chinese Medical Education Association,Youth Committee of Beijing Cardiology Branch of Chinese Medical Association. Chinese expert consensus on cli-nical application of intramedullary infusion[J]. Chin J Crit Care Med,2019,39(7):620-624.
[8] 王飒,封秀琴,张茂,等. 骨髓腔输液通路临床应用护理专家共识[J]. 中华急危重症护理杂志,2020,1(4):362-370.
Wang S,Feng XQ,Zhang M,et al.Experts consensus on nursing clinical application of intraosseous infusion access[J]. Chin J Emerg Crit Care Nurs,2020,1(4):362-370.
[9] 唐菲,杨漂羽,王萍,等. 骨髓腔内输液技术在急危重症患者中的应用进展[J]. 中华急危重症护理杂志,2020,1(6):540-544.
Tang F,Yang PY,Wang P,et al.Progress in the application of intraosseous infusion technology in critical patients[J]. Chin J Emerg Crit Care Nurs,2020,1(6):540-544.
[10] Philbeck TE,Miller LJ,Montez D,et al.Hurt so good,easing IO pain and pressure[J]. JEMS,2010,35(9):58-69.
[11] Sheehan C,Sodhi V,Esler M.Intraosseous needles on the delivery suite[J]. Int J Obstet Anesth,2011,20(3):272-273.
[12] 詹玥,杨旻斐,姚晓月,等. 心搏骤停患者骨髓腔输液通路建立时机的研究[J]. 中华急危重症护理杂志,2020,1(4):293-297.
Zhan Y,Yang MF,Yao XY,et al.The research on the timing of intraosseous catheterization in patients with cardiac arrest[J]. Chin J Emerg Crit Care Nurs,2020,1(4):293-297.
[13] 中国医师协会急诊医师分会. 急性循环衰竭中国急诊临床实践专家共识[J]. 中国急救医学,2016,36(1):1-8.
Emergency Physicians Branch of the Chinese Medical Association. Expert consensus on clinical practice of acute circula-tory failure in China[J]. Chin J Crit Care Med,2016,36(1):1-8.
[14] Pasley J,Miller CH,DuBose JJ,et al. Intraosseous infusion rates under high pressure:a cadaveric comparison of anatomic sites[J]. J Trauma Acute Care Surg,2015,78(2):295-299.
[15] 李瑞,刘玉平,王晶,等. 疼痛管理培训课程知识体系的构建[J]. 中华护理教育,2019,16(2):145-149.
Li R,Liu YP,Wang J,et al.The development of pain management training curriculum system[J]. Chin J Nurs Educ,2019,16(2):145-149.
[16] 田飞,米元元,刘静兰,等. 急诊医护人员疼痛管理知识和态度的现状及影响因素研究[J]. 护士进修杂志,2021,36(2):134-138.
Tian F,Mi YY,Liu JL,et al.Analysis on the status quo and influencing factors of pain management knowledge and attitude among emergency medical staff[J]. J Nurs Train,2021, 36(2):134-138.
[17] 金佳佳,童莺歌,刘苗苗,等. 我国护理专业学生疼痛管理知识态度研究现状[J]. 中华护理教育,2018,15(10):782-785.
Jin JJ,Tong YG,Liu MM,et al.Research status of pain management knowledge and attitude of nursing students in China[J]. Chin J Nurs Educ,2018,15(10):782-785.
[18] 刘丽艳,张雅丽. 疼痛专科护士的管理现状与进展[J]. 护理研究,2018,32(21):3358-3360.
Liu LY,Zhang YL.Current situation and progress of management of pain nurses[J]. Chin Nurs Res,2018,32(21):3358-3360.
[19] 秦玲,薛晓明. 患者疼痛管理研究进展[J]. 中国护理管理,2016, 16(1):121-124.
Qin L,Xue XM.Research progress of pain management[J]. Chin Nurs Manag,2016,16(1):121-124.
[20] 杨燕琳,陈光强,何璇,等. 危重患者疼痛观察工具在颅脑肿瘤开颅术后疼痛评估中的应用[J]. 首都医科大学学报,2019,40(5):758-763.
Yang YL,Chen GQ,He X,et al.Application of the critical care pain observation tool for pain assessment in intracranial tumor patients after craniotomy[J]. J Cap Med Univ,2019,40(5):758-763.
[21] 张晶,田丽. 危重症患者疼痛评估量表的研究现状[J]. 国际麻醉学与复苏杂志,2014,35(8):752-756,760.
Zhang J,Tian L.Research progress of the critical care pain assessment scale[J]. Int J Anesthesiol Resusc,2014,35(8):752-756,760.
[22] 陈佳佳,童莺歌,黎晓艳,等. 中文版行为疼痛评估工具的研究进展[J]. 护理研究,2017,31(32):4043-4047.
Chen JJ,Tong YG,Li XY,et al.Research progress on Chinese version of behavior pain assessment tool[J]. Nurs Res China,2017,31(32):4043-4047.
[23] Paxton JH.Intraosseous vascular access:a review[J]. Trauma,2012,14(3):195-232.
[24] 国家药典委员会. 中华人民共和国药典: 2005年版[M]. 北京:化学工业出版社, 2005.
National Pharmacopoeia Commission.Pharmacopoeia of the People's Republic of China: 2005 edition[M]. Beijing:Chemical Industry Press,2005.
[25] 贺婷,张美芬. 癌症患者的疼痛程度与疼痛信念的相关性研究[J]. 中华护理杂志,2011,46(9):909-911.
He T,Zhang MF.The relationship between degree of pain and pain beliefs[J]. Chin J Nurs,2011,46(9):909-911.
[26] Melanie R,Scott T,Benjamin F,et al.The treatment of acute pain in the emergency department:a white paper position statement prepared for the American Academy of Emergency Medicine[J]. J Emerg Med,2018,54(5):731-736.
[27] Alderman CP,Antimisiaris DE.Sufentanil sublingual tablet:a new option for acute pain management[J]. Ann Pharmaco-ther,2020,54(6):617-618.