摘要
目的了解我院小儿术后镇痛药物的使用情况,为临床用药提供参考。方法查阅2006年全年在我院外科施行的4 476例手术病历,记录术后镇痛治疗例数及使用止痛药物种类,对两者进行比较分析。结果按手术大小分类,全年施行的大手术1 448例;中手术3 092例;小手术936例。术后各类手术使用止痛例数分别为:265例;519例;28例;其中非甾体类抗炎药(NSAIDs)的使用较为普遍,包括在大手术后的严重疼痛中的使用;麻醉性镇痛药物(阿片类)使用则较为局限,仅在PICU及胸心外科使用。结论术后止痛用药例数相对手术例数而言仍是一个较低水平。为保证小儿术后疼痛能得到及时有效的治疗,应加强医师对小儿术后疼痛和镇痛原则、技术及镇痛药物知识的培训,以便合理使用止痛药物。
Objective To find out the state of use of pain-killer for children during postoperative period in our hospital, and to offer reference for clinical drug administration. Methods To consult all 4476 cases of operation record operated in surgical department ot our hospital in 2006, and record the number of cases having postoperative pain management and the variety of pain-killer used, and compare and analyse both of them. Results Classified by the magunitude of operation, there are 1448 cases of major operations, 3092 cases of middle operations and 936 cases of minor operations in the whole year. During postoperative period pain-killer using cases for each kind of operation is 265 cases, 519 cases and 28 cases, respectively. Among them the use of non-steroid anti-inflammation drugs （NSAIDs） is prevalent, including the use of them for severe pain after major operations; the use of opioids is limited, only used in PICU and thoraco-cardio surgical department. Conclusion Compared with the large number of operation cases, the number of cases getting parin-killers postoperatively remains to be a low level. To ensure pediatric postoperative pain could be treated in time and effectively, we should strengthen the training of our docotors using the knowledge of pediatric postoperative pain and pain management principles, techniques and pain-killer＇ s characterizations, so that they can use pain-killers in reason.
出处
《广州医药》
2008年第6期36-38,共3页
Guangzhou Medical Journal
关键词
小儿
术后疼痛
镇痛药物
临床应用
Pediatric
Postoperative pain
Pain-killers
Clinical use
