摘要
目的了解苏州地区急诊创伤镇痛治疗的现状,为规范急诊创伤镇痛治疗提供依据。方法对苏州地区二级及以上16家医院急诊医生采用无记名问卷调查。调查内容主要包括:急性创伤患者镇痛治疗的时机、适应证、疼痛分级、药物选择以及未给予镇痛治疗的原因等。结果共发出问卷160份,收到有效答卷139份,回收率为92.7%。调查结果显示,对于急诊创伤患者立即采取镇痛者仅为6.5%,采用疼痛评分者为58.3%。积极采取镇痛治疗的创伤主要包括单纯四肢骨折(66.9%)和烧伤(58.3%)。使用的镇痛药物主要是杜冷丁(64%)。造成延迟或不给予镇痛治疗的担忧主要包括,镇痛治疗干扰对创伤的诊断和病情的观察(47.5%)、镇痛药物造成呼吸抑制(44.6%)等。结论苏州地区存在对急诊创伤镇痛治疗重要性认识不足,对镇痛药物副作用认识片面等较为普遍的现象。表明加强急诊镇痛治疗培训和继续教育的迫切性和重要性。
Objective To investigate current situation of analgesia for acute traumatic pain in the region of Suzhou in order to improve the management of acute traumatic pain in the emergency department. Methods Surgeons of emergency department from 16 hospitals in Suzhou were inquired with a questionnaire on acute traumatic pain management. The list of question included mainly time and indications of analgesia, pain scores, analgesic selection and adverse events etc. Results Valid questionnaires were 139 (92.7% ,139/160). The rate of immediate analgesia was only about 6.5% , 58.3% surgeons used pain scores in this study. The majority of traumas under analgesia treatment were simple lower - extremity fracture (66.9%) and burn (58.3%). The adverse events of analgesia, which were worried about by surgeons, were diagnosis postponement and respiratory depression. Conclusions Analgesia for acute traumatic pain in emergency department was insufficient and the conception about analgesia was not clear in some hospitals of Suzhou. Reeducation and improvement were necessary.
出处
《中国急救医学》
CAS
CSCD
北大核心
2008年第8期715-717,共3页
Chinese Journal of Critical Care Medicine
关键词
苏州地区
急诊
创伤
镇痛
调查
Suzhou region
Emergency
Trauma
Analgesia
Investigation