临床药师参与的多模式镇痛流程在骨科手术中的应用效果  

Application effect of multi-mode analgesia process participated by clinical pharmacists in orthopedic surgery

作　　者：白玲 王莉[1] 岳怀献[1] 白蓉[1] 高亚丰[1] BAI Ling;WANG Li;YUE Huai-xian;BAI Rong;GAO Ya-feng(Yan'an University Affiliated Hospital,Yan'an 716000,China)

机构地区：[1]延安大学附属医院,陕西延安716000

出　　处：《临床医学研究与实践》2020年第7期96-97,共2页Clinical Research and Practice

摘　　要：目的探讨临床药师参与的多模式镇痛流程在骨科手术中的应用效果。方法将进行骨科手术的186例患者以不同镇痛方式分为对照组与观察组,各93例。对照组给予常规镇痛,观察组给予临床药师参与的多模式镇痛流程。比较两组镇痛效果。结果术后12 h、1、3、5 d,观察组患者的NRS评分均低于对照组(P<0.05);观察组患者的不良反应总发生率低于对照组,满意度高于对照组(P<0.05);术后,观察组患者的日常生活、情感指数、睡眠质量评分均低于对照组及术前(P<0.05)。结论临床药师参与的多模式镇痛流程在骨科手术患者中可显著提高患者的镇痛效果及满意度,减轻不良反应及疼痛对生活质量的影响,利于术后恢复。Objective To investigate the application effect of multi-mode analgesia process participated by clinical pharmacists in orthopedic surgery.Methods A total of 186 patients who underwent orthopaedic surgery were divided into control group and observation group according to different analgesic methods,with 93 cases in each group.The control group was given routine analgesia,while the observation group was given multi-mode analgesia process participated by clinical pharmacists.The analgesic effects of the two groups were compared.Results At 12 hours,1,3 and 5 d after operation,the NRS scores of patients in the observation group were lower than those in the control group(P<0.05);the total incidence of adverse reactions in the observation group was lower than that in the control group,and the satisfaction was higher than that in the control group(P<0.05);after operation,the scores of daily life,emotional index and sleep quality in the observation group were lower than those in the control group and before operation(P<0.05).Conclusion The multi-mode analgesia process participated by clinical pharmacists in patients with orthopaedic surgery can significantly improve the patient's analgesic effect and satisfaction,reduce the adverse reactions and the impact of pain on the quality of life,and facilitate the postoperative recovery.

关 键 词：临床药师 骨科手术 多模式镇痛 

分 类 号：R95[医药卫生—药学]