使用自控镇痛泵对颌骨手术术后镇痛疗效临床研究.docVIP

使用自控镇痛泵对颌骨手术术后镇痛疗效临床研究 　　[摘要] 目的：评价自控镇痛泵（PCA）在颌骨手术术后镇痛的疗效。方法：2004年11月～2010年10月间累计观察完成颌骨手术且符合标准的患者80例，以奇偶数方法随机分为两组，每组40例。1组对照组常规用药镇痛；2组实验组使用PCA镇痛。由非麻醉科人员对所有患者术后第1天采用11点数量评分法（NRS-11）评估患者疼痛。结果：PCA组评分平均（2.00±0.35）分，对照组评分平均（4.00±0.54）分，两组比较差异有统计学意义（P＜0.05）。结论：PCA对颌骨手术术后镇痛效果显著，值得推广。 　　[关键词] 疼痛；自控镇痛泵；颌骨手术 　　[中图分类号] R782 [文献标识码] B [文章编号] 1673-7210（2011）07（b）-041-02 　　 　　Clinical analysis of analgesia effectiveness of patient-controlled analgesia in post-operative pain of maxillafacial surgeries 　　LIN Liqun1, GAO Ping1, ZHOU Jiemin2, CHEN Nianmei1, LIN Qifeng1 　　1.Stomatology Department of the First Hospital of Fuzhou City, Fuzhou 350009, China; 2.Department of Anesthesiology of the First Hospital of Fuzhou City, Fuzhou 350009, China 　　[Abstract] Objective：To evaluate the analgesia effectiveness of patient-controlled analgesia in post-operative pain of maxillofacial surgeries. Methods：We evaluated 80 patients who finished the maxillofacial surgeries and meet to the criterion from November 2004 to October 2010. They were numbered and divided into two groups randomly by odd and even numbers. There were 40 patients in every group. Group 1 was control group which was given the analgesia medicine in routine. Group 2 was experimential group which was gived PCA. Non-anaesthetic doctors evaluated the pain of all the patients in the first post-operative day by NRS-11. Results： The average score of PCA group was （2.00±0.35） and the average score of control group was （4.00±0.54）， there was a significant difference between two groups （P＜0.05）. Conclusion：There is significant analgesia effectiveness of patient-controlled analgesia in post-operative pain of maxillofacial surgeries. 　　[Key words] Pain；Patient-controlled analgesia；Maxillofacial surgery 　　 　　颌骨是面部的主要骨性支架，是构成面部2/3和牙颌系统的重要部分，在颌面部损伤和其他疾病中具有十分重要的临床意义，半数的口腔颌面外科手术涉及颌骨。口腔颌面外科手术涉及部位的神经分布广泛、感觉敏感，术后疼痛严重。颌骨与进食、咀嚼、吞咽、语言等功能息息相关，而手术术后疼痛将严重影响患者手术康复，如何有效控制颌骨手术术后疼痛对患者生理、精神及恢复至关重要。患者自控镇痛泵（patient-controlled analgesia，PCA）是由一个计数电子仪