两种术后镇痛管理方法对镇痛效果及并发症发生率的影响.docVIP

PAGE PAGE 1 两种术后镇痛管理方法对镇痛效果及并发症发生率的影响 1.中山大学附属第一医院麻醉科 510080 2.福建省龙岩市第二人民医院 364000 林世清1　黄雄庆1　何丁秀2 孙来保1　徐康清1　肖亮灿1　黄文起1 【摘要】　目的　探讨两种术后疼痛治疗管理模式对术后疼痛治疗效果的影响。方法　2004年1月1日至2004年12月31日间行术后镇痛治疗的615例妇科手术患者为A组，术后疼痛治疗管理方法为一人一周法；2003年1月1日至2003年12月31日行术后镇痛的545例妇科手术患者为B组，术后疼痛治疗管理方法为一人一天法。比较两种管理方法下病人术后镇痛的VAS评分、镇痛效果评价、满意度评价以及并发症的发生率、提前中止镇痛发生率等情况。结果　A、B两组三天平均VAS评分没有明显差异（P0.05）；A组镇痛效果总体评估为 “差”的病例数比率明显低于B组（P0.05）；A组病人满意度为“好”的病例数比率明显高于于B组，满意度为“中”“差”的病例数比率明显低于于B组（P0.05）；两组病人镇痛并发症的发生率没有显著性差异（P0.05），A组提前中止镇痛治疗的发生率明显低于B组（P0.05）。结论　一人一周法比一人一天法在术后镇痛的管理上更完善，能提高病人镇痛满意度，减少提前中止治疗的发生率。 【关键词】　术后镇痛 管理方法　治疗效果　并发症 The evaluation of two different modes of Acute Pain Services management affecting the effect of post-operative analgesia. Lin Shiqing，Huang Xiongqing, HE Dingxiu, et al. Department of Anesthesiology，the First Affiliated Hospital of Sun-yet Sen University， Guangzhou 510080，China 【Abstract】Objective：To evaluate how the two different modes of Acute Pain Services management affect the effect of post-operative analgesia. Methods: Group A includes 2,796 patients that received Acute Pain Services during 1, Jan, 2004 to 31, Dec, 2004 ; the inspecting doctor shifted weekly. Group B includes 2,419 patients that received Acute Pain Services during 1, Jan, 2003 to 31, Dec, 2003; the inspecting doctor shifted daily. The patients’ VAS scores, the evaluation of pain controlling effect and their satisfaction, and the frequency of complications between the two groups were compared. Result: There is no significant difference of VAS scores in 3 days between group A and B(P0.05).The number of patients that the pain controlling effect evaluated as ‘bad’ in group A is significantly less than group B (P0.05). In group A ,the ratio of patients’ satisfaction scored ‘good’ is significantly more than that of group B; the ratio of scored ‘moderate’ and ‘bad’ in group A is significantly less than group B（P0.05）. There is no significant difference of the frequency of complication in the two groups. The cases of p