按时镇痛在骨科无痛病房建设中的临床应用效果  

Peri-operative analgesia effect of pain relief on timing method in orthopaedic "painless unit" procedures

作　　者：刘文和[1] 李云华[1] 许勐宇[1] 朱江[1] 曾莉[1] 万彬[1] 梁华杰[1] 谭小波[1] 张廷帅[1] 

机构地区：[1]清远市人民医院骨科二区,广东清远511518

出　　处：《湘南学院学报（医学版）》2013年第1期12-15,共4页Journal of Xiangnan University（Medical Sciences）

基　　金：广东省医学科研基金立项资助课题(A2012768)

摘　　要：目的探讨按时镇痛在骨科无痛病房建设中的临床应用效果。方法 85例行骨关节手术患者按镇痛方式不同分成两组:A组为按需镇痛组(n=42),即按照患者的疼痛程度评估给予必要的镇痛治疗,B组为按时镇痛组(n=43),即在规定的时间段内按患者的疼痛程度评估给予既定镇痛方案治疗,分别记录两组患者术前疼痛评分,于麻醉清醒后4 h进行第1次术后评分,每4～8 h评估1次至术后72 h,进行睡眠评分,患者出院时进行治疗过程镇痛效果的满意度调查,并对两组结果进行分析比较。结果两组患者术前疼痛评分差异无统计学意义(P>0.05),按时镇痛组术后疼痛评分明显低于按需镇痛组(P<0.05),睡眠评分明显低于按需镇痛组(P<0.05),满意度评分明显好于按需镇痛组(P<0.05)。结论骨关节手术后按时镇痛明显优于按需镇痛组。按时镇痛能够提高术后镇痛效果,改善患者睡眠,提高其住院满意度。Objective To explore peri - operative analgesia effect of pain relief on timing method in or- thopaedic ＂painless unit＂ procedures. Methods Eighty five patients undergoing orthopaedic surgery were randomly divided into two groups. The peri - operative analgesia of the patients （ group A, n = 42 ） was benefited from pain relief on required method. The peri - operative analgesia of the patients （group B, n = 43 ） was benefited from pain relief on timing method. Visual analogue scale （ VAS ） scores and cumulative volumes of the opioid were assessed every 8 hours postoperatively until 72 hours. Sleep disturbance, satisfied score were also measured in the two group. Results VAS scores, sleep disturbance were significantly better in the B groups, compared with the A group（P 〈 0.05 ）. The B group was more satisfied with analgesia treatment （ P 〈 0.05 ）. Conclusion The peri - operative pain relief on timing method could improves analgesia effect, releases the sleep disturbance in or- thopaedic ＂painless unit＂ procedures.

关 键 词：按时镇痛 按需镇痛 无痛病房 

分 类 号：R68[医药卫生—骨科学]