疼痛综合评定管理在加速康复外科中的应用效果  

Effect of comprehensive pain assessment management on enhanced recovery after surgery

作　　者：王雨彤 邱觅真 王志剑[1] 刘志礼[2] 刘逸[3] 刘韦辰 宁玉梅 张达颖[1] 魏建梅[1] WANG Yutong;QIU Mizhen;WANG Zhijian;LIU Zhili;LIU Yi;LIU Weichen;NING Yumei;ZHANG Daying;WEI Jianmei(Department of Pain,The first affiliated Hospital of Nanchang University,Nanchang 330006,China;Department of Orthopaedics,The first affiliated Hospital of Nanchang University,Nanchang 330006,China;Department of General Surgery,The first affiliated Hospital of Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第一附属医院疼痛科,南昌330006 [2]南昌大学第一附属医院骨科,南昌330006 [3]南昌大学第一附属医院普外科,南昌330006

出　　处：《中国疼痛医学杂志》2022年第3期199-203,共5页Chinese Journal of Pain Medicine

基　　金：国家临床重点专科建设项目(国卫办医函(2013)544号);2020年江西省科技厅重点研发计划项目(20203BBGL73155)。

摘　　要：目的:探讨疼痛综合评定管理在加速康复外科(enhanced recovery after surgery,ERAS)中的临床应用效果。方法:回顾分析2017年6月至2018年12月收入南昌大学第一附属医院行结直肠切除术、腹腔镜下胆囊切除术以及髋膝关节置换术的498例病人。选取2017年6月至2018年2月采用加速康复外科理念完成手术病人215例为对照组,选取2018年4月至2018年12月在加速康复外科理念基础上实施疼痛综合评定管理完成手术病人283例为试验组。比较两组病人术后疼痛评分、静脉镇痛用药在镇痛综合治疗中构成比、平均住院日、平均住院费用及病人镇痛满意度。结果:实施疼痛综合评定的试验组病人较对照组术后平均疼痛评分降低,平均住院日和平均住院费用降低,静脉镇痛用药在镇痛综合治疗中构成比下降,术后病人镇痛满意度提高,差异有统计学意义。结论:疼痛综合评定管理在加速康复外科中的应用是切实可行的,有助于缓解病人术后疼痛,规范镇痛药物使用,改善其疼痛体验。Objective:To explore the clinical effect of comprehensive pain assessment management in enhanced recovery after surgery(ERAS).Methods:A retrospective analysis was made on 498 patients who underwent colorectal resection,laparoscopic cholecystectomy or hip and knee arthroplasty in the first affiliated hospital of Nanchang University from June 2017 to December 2018.215 patients who completed surgery with the concept of accelerated rehabilitation surgery from June 2017 to February 2018 were selected as the control group,and 283 patients who completed surgery based on the concept of accelerated rehabilitation surgery from April 2018 to December 2018 were selected as the experimental group.The postoperative pain score,the constituent ratio of intravenous analgesia,the average length of stay,the average hospitalization expenses and the satisfaction of patients with analgesia were compared between the two groups.Results:Compared with the control group,the mean postoperative pain score,average length of stay,average hospitalization expenses,and the constituent ratio of intravenous analgesics in analgesia comprehensive treatment in the experimental group were significantly decreased,and the analgesia satisfaction was significantly improved.Conclusion:The application of comprehensive pain assessment management in ERAS is feasible,which helps relieve patients’postoperative pain,standardizes the use of analgesics,and improves the pain experience of patients.

关 键 词：疼痛综合评定 加速康复外科 疼痛管理 

分 类 号：R473.6[医药卫生—护理学]