改良NBAS-APS在肝胆外科术后镇痛中的应用研究  

A study of improved nurse-based anesthesiologist supervised pain management model in hepatobiliary postoperative pain management

作　　者：熊英[1] 覃梅[1] 李文静[1] 李红艳[1] 米娜[1] 史雅静[1] 冯欢[1] 杨玉芳[1] 

机构地区：[1]第三军医大学附属新桥医院肝胆外科,重庆400037

出　　处：《局解手术学杂志》2008年第4期244-246,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的评价改良的以护士为基础、以麻醉医师为指导的疼痛管理模式(NBAS-APS)在肝胆外科术后疼痛管理中应用的效果。方法406例患者随机分为3组,分别为传统疼痛管理模式组(C-APS)、NBAS-APS模式组和改良的NBAS-APS模式组(NBASS-APS),对三组术后患者进行随机的观察性研究,进行疼痛评分并观察镇痛效果。结果与传统的疼痛管理模式比较,NBAS-APS和改良的NBAS-APS模式的术后止痛效果指标(VAS值)显著降低,术后24 h和48 h的睡眠时间显著增加,患者总体满意度显著提高,且改良的NBAS-APS模式又优于NBAS-APS模式。结论NBAS-APS可显著提高术后镇痛效果,改良的NBAS-APS模式更优于NBAS-APS,更加适合临床实际。Objective To evaluate the effectiveness of the improved nurse-based, anesthesiologist-supervised acute pain management model used in hepatobiliary postoperative pain management. Methods Totally 406 patients were divided into 3 groups： customary APS group （C-APS）, NBAS-APS group and NBASA-APS group （improved NBASS-APS）. Observed and studied all these patients, and gave the pain score and observed the effect. Results Compared with the C-APS Group, the VAS was significant lower than that of NBAS-APS group and NBASA-APS group,and the longer sleeping time within 24 hours or 48 hours. The NBASA-APS model surpassed NBAS-APS model. Conclusion Improved nurse-based, anesthesiologist-supervised acute pain management model significant improve postoperative analgesia, and is more suitable for clinic.

关 键 词：疼痛 术后镇痛 肝胆疾病 

分 类 号：R441.1[医药卫生—诊断学] R619[医药卫生—临床医学]