首页|期刊导航|广东医学|智能化患者自控镇痛中国疼痛效果综合评估量表的构建及其在术后镇痛管理中的应用

智能化患者自控镇痛中国疼痛效果综合评估量表的构建及其在术后镇痛管理中的应用OA

Construction of the Intelligent Patient-Controlled Analgesia Chinese Pain Outcome Assessment Scale and its applica-tion in postoperative analgesia management

中文摘要英文摘要

2026年2月,首项适合中国国情的多中心前瞻性研究——《智能化患者自控镇痛中国疼痛效果综合评估量表的研制和验证:一项临床多中心研究》在《中华疼痛学杂志》正式发布,智能化患者自控镇痛中国疼痛效果综合评估量表(S-Chinese Pain Assessment Scale,S-CPAS)以循证医学证据为依据,分2个层面、10个维度、32个条目,信度与效度良好,实现了从"数据采集"到"智能分析"再到"效果呈现"的自动化全流程,具有智能化、个体化、精准化的优势,应用"智能化疼痛评估查房平板"快速辅助系统实施镇痛评估;该方案对术后智能化患者自控镇痛(artificial intelligence PCA,AI-PCA)精准多模式镇痛(precision multimodal an-algesia,PMA)评估效果的提升有重要作用.本文呼吁未来将应用创新的S-CPAS,组织执行"疼痛虚拟病房(virtual pain unit,VPU)"+急性疼痛服务小组(acute pain service,APS)协同管理方案进行术后镇痛,努力促进智能化PMA临床实践高质量发展,让患者切实享受到更安全、更有效、更优质的快速镇痛治疗医疗服务.

In February 2026,the first multicenter prospective study specifically developed for the Chinese clinical context,entitled Development and Validation of the Chinese Pain Effect Comprehensive Assessment Scale for Intelligent Pa-tient-Controlled Analgesia:A Multicenter Clinical Study,was officially published in the Chinese Journal of Pain.Based on evidence from evidence-based medicine,the Smart Chinese Pain Assessment Scale(S-CPAS)comprises 2 sections,10 dimensions,and 32 items,and demonstrates good reliability and validity.It enables a comprehensive workflow from data collection and intelligent analysis to outcome presentation,with advantages in automation,intelligence,individualiza-tion,and precision.The use of an intelligent pain assessment ward-round tablet system provides rapid assistance in anal-gesic management.This approach is expected to substantially improve the effectiveness of artificial intelligence-assisted patient-controlled analgesia(AI-PCA)and precision multimodal analgesia(PMA).In the future,we advocate the im-plementation of the innovative S-CPAS and the establishment of a collaborative postoperative analgesia management model integrating a virtual pain unit(VPU)with an acute pain service(APS).These efforts may promote the high-quality de-velopment of intelligent PM A in clinical practice and enable patients to benefit from safer,more effective,higher-quali-ty,and more rapid analgesic care.

佘守章;郑彬;曹汉忠;储勤军;王琰;王天龙;俞卫锋

广州市麻醉医疗质量控制中心、广州市第一人民医院手术麻醉中心(广东 广州 510180)广州市麻醉医疗质量控制中心、广州市第一人民医院手术麻醉中心(广东 广州 510180)南通大学附属肿瘤医院麻醉科(江苏南通 226361)郑州大学附属郑州中心医院麻醉与围术期医学科(河南郑州 450000)郑州大学附属郑州中心医院麻醉与围术期医学科(河南郑州 450000)首都医科大学宣武医院麻醉手术科(北京 100053)温州医科大学附属第一医院疼痛诊疗中心(浙江温州 325025)

医药卫生

智能数字医疗患者自控智能化患者自控镇痛中国疼痛效果综合评估量表评估量表手术后镇痛

intelligent digital healthcarepatient-controlled analgesiaSmart Chinese Pain Assessment Scaleassessment scalepostoperative periodanalgesia

《广东医学》 2026 (8)

1121-1127,7

10.13820/j.cnki.gdyx.20262214

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