使用自控镇痛泵对颌骨手术术后镇痛疗效的临床研究  

Clinical analysis of analgesia effectiveness of patient-controlled analgesia in post-operative pain of maxillafacial surgeries

作　　者：林立群[1] 高萍[1] 周洁民[2] 陈念梅[1] 林其风[1] 

机构地区：[1]福州市第一医院口腔科,福州福建350009 [2]福州市第一医院麻醉科,福州福建350009

出　　处：《中国医药导报》2011年第20期41-42,共2页China Medical Herald

摘　　要：目的:评价自控镇痛泵(PCA)在颌骨手术术后镇痛的疗效。方法:2004年11月～2010年10月间累计观察完成颌骨手术且符合标准的患者80例,以奇偶数方法随机分为两组,每组40例。1组对照组常规用药镇痛;2组实验组使用PCA镇痛。由非麻醉科人员对所有患者术后第1天采用11点数量评分法(NRS-11)评估患者疼痛。结果:PCA组评分平均(2.00±0.35)分,对照组评分平均(4.00±0.54)分,两组比较差异有统计学意义(P<0.05)。结论:PCA对颌骨手术术后镇痛效果显著,值得推广。Objective：To evaluate the analgesia effectiveness of patient-controlled analgesia in post-operative pain of maxillofacial surgeries.Methods：We evaluated 80 patients who finished the maxillofacial surgeries and meet to the criterion from November 2004 to October 2010.They were numbered and divided into two groups randomly by odd and even numbers.There were 40 patients in every group.Group 1 was control group which was given the analgesia medicine in routine.Group 2 was experimential group which was gived PCA.Non-anaesthetic doctors evaluated the pain of all the patients in the first post-operative day by NRS-11.Results：The average score of PCA group was（2.00±0.35） and the average score of control group was（4.00±0.54）,there was a significant difference between two groups（P0.05）.Conclusion：There is significant analgesia effectiveness of patient-controlled analgesia in post-operative pain of maxillofacial surgeries.

关 键 词：疼痛 自控镇痛泵 颌骨手术 

分 类 号：R782[医药卫生—口腔医学]