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。

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.

R473.73

浙江省卫生厅课题（2022ky116）