肝动脉化疗栓塞术患者的多模式疼痛管理

Multi-model pain management for patients undergoing transarterial chemoembolization

目的评价多模式疼痛管理方案应用于肝动脉化疗栓塞术患者的效果。方法将166例肝动脉化疗栓塞术患者随机分为对照组80例和干预组86例,对照组采用传统疼痛管理策略,干预组采用多模式疼痛管理策略,包括建立医生、护士、药师及疼痛治疗师多学科团队,实施多模式镇痛知识宣教、超前非甾体抗炎药镇痛、局部浸润渗透、静脉自控镇痛泵、疼痛分级护理等措施。结果干预组术后24h内疼痛严重程度、不良反应(恶心呕吐、便秘腹胀)发生率及睡眠质量显著优于对照组(P<0.05,P<0.01)。结论多模式疼痛管理方案可有效控制肝动脉化疗栓塞术患者术后疼痛,有利于促进术后恢复。

Objective To evaluate the effect of multi-model pain management strategy for patients undergoing transarterial chemoemholization （TACE）. Methods Totally 166 patients undergoing TACE were randomized into a control group （n= 80） and an inter- vention group （n=86）. The control group received conventional pain management method, while the intervention group received multi-model pain management strategy, which included establishment of multidisciplinary team consisting of physicians, nurses, pharmacists and pain therapists, and implementation of health education on multi-model analgesia knowledge, preemptive analgesia using non-steroidal anti-inflammatory drug,local infiltration, intravenous self-control analgesia pump, pain grading nursing, etc. Results Pain severity, incidence of side effects （nausea, vomitting, constipation and abdominal distension） and sleep quality of the intervention group within 24 hours after the operation were significantly better than those of the control group （P〈0.05, P〈 0.01）. Conclusion Multi-model pain management strategy could effectively control postoperative pain for patients undergoing TA- CE, and is conducive to promote postoperative recovery.