太仓地区普通人群急性创伤镇痛意愿的现状调查

To investigate the will of the analgesia for acute traumatic pain of the general population in the region of Taicang

目的：了解太仓地区普通人群急诊创伤镇痛意愿的现状,为今后改进急诊创伤镇痛迟滞提供参考。方法：对太仓地区普通人群采用无记名问卷调查。调查内容主要包括：年龄、文化程度、职业、是否选择镇痛及其原因、镇痛的被动性及主动性、对镇痛药物的了解程度及来源等方面。结果：有效问卷415份,回收率为100%,年龄区间为18～76岁。调查结果显示,拒绝镇痛组、被动接受组及主动要求组镇痛意愿率分别为14.7%、38.6%、46.7%（P〈0.01）;拒绝组镇痛意愿率与年龄比较差异有统计学意义（P〈0.01）,其他2组与年龄比较差异无统计学意义;3组镇痛意愿率与文化程度比较差异无统计学意义;受教育程度与药物知识了解率比较差异有统计学意义（P〈0.01）;拒绝镇痛因素主要为担心药物不良反应（86.9%）;主动及被动接受镇痛因素主要为怕痛（74.6%）,镇痛意愿的差别与了解药物知识率比较差异无统计学意义。结论：普通人群并非是急诊创伤镇痛实施延迟的主要因素,应适当加强急诊医生对镇痛的重视及临床镇痛治疗的宣教及引导。

Objective：To investigate the current situation of analgesia will of the general population for acute traumatic pain in the region of Taicang,in order to provide reference for future improvement of emergency trauma analgesia hysteresis.Method：The general population of Taicang were inquired with a questionnaire on analgesia will.The list of question included age,education,occupation,the choice of analgesia and causes,passive and initiative analgesic therapy,understanding and sources about analgesic drugs.Result：There were 415 copies of valid questionnaires（100%）.The age ranged from 18 to 76years old.The analgesia will rate of refused anesthesia group,passive and initiative group were 14.7%,38.6%,46.7%（P〈0.01）respectively.The passive and initiative group was correlated with age（P〈0.01）.The other two groups had no correlation with age（P〉0.01）.Three groups had no correlation with degree of education.The degree of education were correlated with drug knowledge.The factor of refuse to analgesic was drug toxicity（86.9%）.The active and initiative acceptance of analgesia factor were afraid of pain（74.6%）.The differences of analgesia will had no correlation with drug.Conclusion：The main factor of analgesic delay had no correlation with the general population.We should strengthen the attention and guide the mission of analgesia.