30.规范化术后镇痛管理--徐建国.pptxVIP

规范化术后镇痛管理南京军区总医院徐建国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术后疼痛调查Overall pain:82% of samplePain after discharge:75% of sample21%73%21%47%52%68%ModerateSevereExtremePain intensity:Slightn=250 randomly selected patients who recently had inpatient or outpatient proceduresApfelbaum et al. Anesth Analg 2003;97:534门手后患者当日返院原因: 疼痛占第一位OtherMean charges for patients re-admitted due to pain were $1,869±4,553 per visit*38% of patients re-admitted for pain had undergone orthopaedic proceduresSurgical17%21%ADE3%Medical14%BleedingPain4%38%N/V3%*Me