摘要
目的:比较按需镇痛与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,随机分成两组:A组为按需镇痛组(42例),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(43例),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次评分,每4～8 h评估1次至术后72 h疼痛评分,睡眠评分,患者出院时对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),术后按时镇痛组术后疼痛评分明显低于按需镇痛组(P<0.05)。患者的睡眠评分明显优于按需镇痛组(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。
pain relief on required method in orthopaedic ＂painless unit＂ procedures. Methods： relief on timing method and Eighty-five patients undergo- benefited from pain relief on required method in A group （ n = 42）. The peri-operative analgesia of the patients was benefited from pain relief on timing method in B group （n =43）. Visual analogue scale （VAS） scores and cumu- lative volumes of the opioid were assessed every 8 hours postoperatively until 72 hours. Sleep disturbance, satisfied score were also measured in the two groups. 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 clearly improve analgesia effect, release the sleep disturbance in orthopaedic ＂ painless unit＂ procedures. [ Key words ] Pain relief on timing method ; Pain relief on required method ; Painless unit
出处
《新医学》
2013年第2期119-122,共4页
Journal of New Medicine
基金
2012年度广东省医学科研基金立项资助课题(A2012768)
关键词
按时镇痛
按需镇痛
无痛病房
Pain relief on timing method
Pain relief on required method
Painless unit
