规范化疼痛管理在上腹部术后患者应用中的效果评价

The Efficacy of Standardlized Pain Management in the Patients underwent Upper Abdominal Surgery

目的:评价规范化疼痛管理在上腹部术后患者临床应用中的效果。方法:将160例患者随机分为对照组和观察组,对照组采用传统的术后疼痛干预,观察组实施规范化疼痛管理,比较对两组患者手术镇痛认知度的影响、术后3d疼痛控制效果、术后生理功能恢复方面的指标。结果:观察组对疼痛知识的认知程度明显高于对照组,术后3d疼痛分值明显低于对照组,睡眠时间多于对照组,肛门排气时间、下床活动时间、住院时间及并发症发生率均明显少于对照组,两组比较差异均有统计学意义(P<0.05)。结论:规范化疼痛管理改变了患者错误的疼痛认知,有效提高开腹术后的镇痛效果,促进患者康复。

Objective： To evaluate the efficacy of standardlized pain management in the patients who had accepted upper abdominal surgery. Methods：One hundred and sixty patients were randomly allocated into the control group and observation group. Patients in the control group underwent the conventional postoperative pain management, whereas patients in the observation group accepted the standardized postoperative pain management. The awareness of analgesia, pain control effect on 3 days after surgery and status of physiological function recovery were compared between these two groups. Re- suits：Compared with the control group, awareness of analgesia in the observation group was significantly higher, however, pain scores were significantly lower. In addition, patients in the observation group had longer sleep time, shorter time to flatus and out-of-bed activity, lower incidence of complication and shorter hospitalization time than those in the control group. The differences were statistically significant （ P 〈 0. 05 ）. Conclusion ： Standardized pain management can alter patients＇ awareness of analgesia, effectively improve the analgesic effect after abdominal surgery, and promote the rehabilitation of patients.