协同互补镇痛模式在先天性髋关节发育不良患儿术后疼痛管理中的应用

Application of synergistic analgesia model on postoperative pain management in children with congenital hip dysplasia

目的观察协同互补镇痛模式在先天性髋关节发育不良患儿术后疼痛管理中的应用效果。方法选择协同互补镇痛实施前(2016年1月—12月)和实施后(2017年1月—12月)住院治疗的先天性髋关节发育不良儿童病例各31例为研究对象,分别设为对照组与试验组。对照组患儿术后仅依靠镇痛泵进行疼痛控制,试验组接受协同互补镇痛模式干预。结果试验组干预后24 h、72 h加拿大东安大略儿童医院疼痛评分量表(CHEOPS)评分、计划外疼痛呼叫次数及镇痛泵用量均低于对照组(P<0.01)。2组干预后总不良反应发生率差异无统计学意义(P>0.05)。结论将协同互补镇痛模式用于先天性髋关节发育不良患儿术后疼痛护理实践中,能够获得安全有效的镇痛效果。

Objective To investigate the effect of synergistic analgesia model on postoperative pain control in children with congenital hip dysplasia.Methods Thirty-one children with congenital hip dysplasia were enrolled as the control group before implementation of synergistic analgesia model(between January,2016 and December,2016),and another 31 children were enrolled as the study group after implementation(between January,2017 and December,2017).The analgesic pump was used in the control group,and the synergistic analgesia model was adopted in the study group additionally.Results Children in the study group had lower Children's Hospital of Eastern Ontario Pain Scale(CHEOPS)at 24 hours and 48 hours after operation(P<0.01).The number of unplanned pain calls and the dosage of analgesic pump in the study group were lower than those in the control group(P<0.01).There was no significant difference in incidence of adverse reactions between two groups(P>0.05).Conclusion The synergistic analgesia model can be used for postoperative pain control in children with congenital hip dysplasia.