口腔颌面部术后疼痛调查及镇痛治疗

Investigation of the Postoperative Pain and Analgesia Treatment of Oral and Maxillofacial Surgery

目的观察疼痛干预在口腔颌面部手术术后镇痛效果,探讨不同手术方式术后疼痛程度。方法对93例口腔科手术患者按照不同的手术切口类型分组后,进行术后36内疼痛的调查及使用镇痛药物治疗效果的记录。结果口内切口组以中度疼痛为主,颌面颈部切口组以轻度疼痛为主,口内外交通切口组以中度疼痛为主,皮瓣移植多切口组以重度疼痛为主。给予干预后,中度疼痛的患者疼痛基本都能缓解至轻度疼痛,重度疼痛下降至中度疼痛和轻度疼痛。结论不同手术方式术后给予奥尔芬镇痛,镇痛效果显著。

Objective To observe the postoperative analgesia effect of pain intervention for oral and maxillofacial surgery and discuss the degree of postoperative pain of different operation modes. Methods 93 patients underwent stomatological surgery were divided into four groups according to the operation incision of different types. And the pain within 36 hours after operation of the patients was investigated; the analgesia effect of the analgesic drugs used by the patients was recorded. Results Intraoral incision group mainly had moderate pain, maxillofacial and neck incision group mainly had mild pain, mouth inside and outside traffic incision group mostly had moderate pain, and skin flap transplantation multi-incision group primarily had severe pain. After the intervention, the moderate pain could decline to mild pain basically, and severe pain could decrease to moderate pain and mild pain.Conclusion The postoperative analgesic effect of olfen is remarkable for patients with stomatological surgery by different operation methods.