《规范化疼痛治疗》ppt课件.pptVIP

7/30/2018 1 规范化疼痛治疗 南京军区总医院徐建国 7/30/2018 2 疼痛治疗新进展 注重镇痛效果，同时关注不良反应和生活质量 危险因素分层并采取不同的防治方案 口服镇痛：适于日间手术和能口服的患者 PCA镇痛：静脉，硬膜外，皮下，蛛网膜下腔 多模式镇痛和超前镇痛 周围神经和局部阻滞 7/30/2018 3 术后疼痛调查 Overall pain:82% of sample Pain after discharge:75% of sample n=250 randomly selected patients who recently had inpatient or outpatient procedures Slight Moderate Severe Extreme Pain intensity: 73% 68% 47% 21% 52% 21% Apfelbaum et al. Anesth Analg 2003;97:534 7/30/2018 4 Surgical 21% Medical 14% Pain 38% ADE 3% N/V 3% Bleeding 4% Other 17% 门手后患者当日返院原因: 疼痛占第一位 Mean charges for patients re-admitted due to pain were $1,869±4