疼痛评估工具在小儿骨科术后患儿中的应用

Application of Pain Assessment Tool in Pediatric Patients after Orthopedic Surgery

【目的】评价疼痛评估工具的信效度，研究其在小儿骨科术后患儿中的应用价值。【方法】随机选取本院收治的骨科术后患儿100例，患儿年龄在6个月至7岁之间，患儿术后清醒6 h、10 h时借助中文版儿童疼痛行为量表对其进行疼痛评分，记录疼痛评分，并对评分数≥4分的患者进行疼痛干预，30 min后再次应用儿童疼痛行为量表评估，记录分值。【结果】患儿术后清醒6 h、10 h时评价疼痛评分分别为（6．12＆#177;1．51）分、（3．52＆#177;0．56）分，两者比较差异显著（ P ＜0．05）；有50例患儿评分≥4分，其术后10 h疼痛评分为（5．02＆#177;1．01）分，给予疼痛干预，30 min后疼痛评分为（1．55＆#177;0．64）分，干预前后其疼痛评分差异有统计意义（ P＜0．05）。【结论】儿童疼痛行为量表信效度较好，可在小儿骨科术后患儿中应用。

[Objective]To evaluate the reliability and validity of pain assessment tool and its application value in pedi-atric patients after orthopedic surgery .[Methods] Totally 100 pediatric patients after orthopedic surgery in our hospital were randomly selected .The age of patients was 6 months to 7 years old .When awake at 6h and 10h after operation , Chinese children＆#39;pain behavior scale was used for pain score in pediatric patients .Pain score was recorded .Patients with pain score≥4 points received pain intervention .Children＆#39;s pain behavior scale was used for the evaluation after 30min a-gain ,and the score was also recorded .[Results]The pain scores of pediatric patients at 6h and 10h after awake for surgery were （6 .12 ＆#177; 1 .51） points and （3 .52 ＆#177; 0 .56） points respectively ,and there was significant difference （ P〈0 .05） .Pain scores of 50 pediatric patients with pain score≥4 points were （5 .02 ＆#177; 1 .01） points .After pain intervention for 30min , pain scores of these pediatric patients were （1 .55 ＆#177; 0 .64） points .There was significant difference in pain score between before and after intervention （ P〈0 .05） .[Conclusion]Children＆#39;s pain behavior scale has good reliability and validity ,and can be used in pediatric patients after orthopedic surgery .