某医院消化外科无痛病房实践

Practice on Digestive Surgery Painless Ward in a Hospital

目的研究西京医院消化外科无痛病房的实施效果。方法通过实施无痛病房方案,选取无痛病房实施前250例和实施后236例患者资料进行对比,分析镇痛和快速康复相关指标。结果实施无痛病房后患者疼痛评分均降至3分以下,差异有统计学意义(P<0.05);静脉镇痛泵使用时间由74小时降至26小时,差异有统计学意义(P<0.05);高龄患者术后静息痛程度降低,住院时间由10.2天降至6.2天,差异有统计学意义(P<0.05)。结论实施无痛病房能够降低患者术后疼痛程度,减少阿片类药物使用量,缩短静脉镇痛泵使用时间,缩短术后住院时间,加快患者康复速度。

Objective To investigate the effects of digestive surgery painless ward in Xijing Hospital.Methods Compare 250 patients previous and 236 patients subsequent the implement of painless ward by analyzing the relevant index of analgesia and recovery. Results After the implementation of painless ward,the numerical rating scale decreased to lower than 3,and there was a statistically significant difference（P〈0. 05）. Time of using intravenous analgesia pump decreased from 74 hours to 26 hours,and there was a statistically significant difference（P〈0. 05）. Length of stay was shortened from 10. 2 days to 6. 2 days,and there was a statistically significant difference（P〈0. 05）. Conclusion The application of painless ward can relieve the pain after surgery,reduce opioid requirements,decrease the time of using intravenous analgesia pump,shorten the length of stay,and enhance recovery.