疼痛科总住院医师1920例会诊病例分析

RETROSPECTIVE ANALYSIS OF 1920 CASES CONSULTED BY PAIN MEDICINE CHIEF RESIDENTS

目的:分析总结疼痛科总住院医师会诊病例的构成和工作情况。方法:统计卫生部中日友好医院疼痛科总住院医师2003年10月1日至2008年12月31日的会诊病例,分析病例构成和处置情况。结果:共会诊患者1920例,其中常规会诊1786例(93.0%),急症会诊134例(7.0%)。会诊病例最多的是癌痛,670例,占全部会诊病例的34.9%;其次为慢性腰腿痛,244例,占12.7%。内科系统会诊最多的为癌痛,536例,占内科会诊的36.7%;外科系统会诊最多的是三叉神经痛,102例,占外科会诊的31.4%。急症会诊以癌痛最多,86例,占急症会诊的64.2%。会诊处置以神经阻滞基础上的综合治疗为主,共1534例,占79.9%。结论:疼痛科总住院医师应了解疼痛科会诊病例的构成特点及基本处置方法,在会诊中不断总结经验,提高诊疗水平。

Objective ： To describe consultation practice pattern and working situation of as chief residents of pain medicine. Methods ： The pattern and frequency of cases encountered by chief residents the China- Japan Friendship Hospital from october, 2003 to the end of 2008 were retrospectively analyzed. Results： A total of 1920 patients were consulted in the department of pain medicine including routine consultation for 1786 cases （93.0%） and emergency consultation for 134 cases （7.0%）. The most common diagnosis was cancer pain （670 cases, 34.9% ） , followed by chronic lumbago ＆ leg pain （244 cases, 12. 7% ）. For routine consultation on general internal medicine, cancer pain was the most common disorder （536 cases, 36.7% ）. For routine consultation on surgery, the most common disorder was trigeminal neuralgia （ 102cases, 31.4% ）. The most common disorder for emergency consultation was also cancer pain （86 cases, 64.2% ）. The patients consulted were primarily received combined modality therapy based on nerve blocks （ 1534 cases, 79.9% ）. Conclusion： The chief residents should be prepared for the consultation practice. Accumulation of related data and study from it are necessary and helpful for chief residents.