Postoperative analgesia after 10 years of quality control- retrospective study of 1168 cases of.doc

 PAGE \* MERGEFORMAT 12 Postoperative analgesia after 10 years of quality control: retrospective study of 1168 cases of Author: Molly demand, Huang, the Sun Bao, Xiao Liang Chan, Tan-fang, CHEN Bing-Xue 【Abstract】 Objective To understand the status of postoperative analgesia and explore the quality control of postoperative pain. Recalling the past 3 months 1168 cases of postoperative analgesia and the analgesic methods used in the prevention of postoperative nausea and vomiting ways to understand the incidence of analgesic effects and side effects, and to the incidence of analgesic effects and side effects of relevant factors, patients satisfaction with the situation. The results of 90% using continuous epidural analgesia, formula is mainly low-dose morphine combined with low concentrations of bupivacaine or ropivacaine, the main use of morphine combined with intravenous analgesia of lornoxicam. Prevention of postoperative nausea and vomiting (PONV) methods are 5-HT3 receptor antagonists (ondansetron or Azasetron), droperidol, dexamethasone, etc., alone or in compound. Continuous epidural analgesia is necessary to remedy those about 5%, intravenous analgesic pain relief with some 10%. The overall incidence of PONV is low, as low as 20% of gynecological abdominal surgery, female non-gynecologic surgery as low as 10%, cesarean section as low as 1%, the use of droperidol to gynecological surgery to reduce PONV is about 50%. 1 cases of elderly patients with blood oxygen saturation dropped to 82%, after withdrawal, oxygen and other treatment improved. Epidural catheter shedding 0.5%. Itching, dizziness and other complications is less than 5%. Through remedial analgesia, timely management of complications, patient satisfaction is over 90%. Conclusion effect of epidural analgesia is better than intravenous analgesia, moderate pain, reduce the amount of analgesic drugs, increase security, emphasis on the prevention of PONV, lack of timely processing of pain and