骨科围手术期镇痛的临床效果观察

Clinical effectiveness of perioperative analgesia for orthopaedic surgeries

目的：观察骨科围手术期镇痛的临床效果。方法回顾性分析2013-03～2013-12骨科围手术期患者96例实施镇痛（术前超前镇痛、术中鸡尾酒疗法局部镇痛、术后镇痛）的临床资料、术后疼痛评分情况、进行功能锻炼时间以及术后住院天数，评估患者围手术期的生活质量。结果96例患者术后疼痛评分最高4分，最低0分，平均0.76分，术后最长住院天数9d，最短1d，平均4.3d；所有患者术后第2天即可进行不同程度的肢体功能锻炼，且围手术期少有疼痛感，睡眠等生活质量佳。结论骨科围手术期镇痛，可使患者术后疼痛明显减轻，进行功能锻炼时间早，术后恢复较快，缩短了术后住院天数，提高了患者围手术期生活质量，减轻了医护工作量，值得临床推广应用。

Objective To evaluate the clinical effectiveness of painless ward program on management of perioperative pain for orthopedic surgeries .Methods Between March 2013 and December 2013 , 96 patients operated with orthopaedic surgeries were treated by perioperative analgesia （ including pre-emptive analgesia , intraoperative cocktale local analgesia , postoperative analgesia ） .The Numeric Rating Scale （ NRS ） to measure the postoperative pain were used .The functional exercise ,the quality of life and the stay days after operation were counted .Results The maximun NRS was 4, and the minimun was 0（mean 0.76）, while the postoperative stay days in hospital were between 9 and 1 days（mean 4.3 days）.All patients can do some functional exercises after operation ,and had a good postoperative quality of life .Conclusion The perioperative analgesia management can reduce the postoperative pain , make patients having sooner recovery and shorten the stay days in hospital after surgery , it could be applied in clinical practice.