规范化疼痛管理在肝胆外科术后患者疼痛控制中的应用

Application of standardized pain management on postoperative pain of patients undergoing hepatobiliary surgery

目的探讨规范化疼痛管理在肝胆外科术后患后疼痛控制中的应用效果。方法选取2017年11月—2018年4月住院行肝胆外科手术治疗的患者547例,分为对照组369例和观察组178例。对照组采用常规疼痛管理,观察组采取规范化疼痛管理。比较2组患者中重度静息疼痛的发生率、活动性疼痛评分等指标。结果观察组患者术后3天内中重度静息痛的发生率为20.22%,低于对照组的23.31%,差异有统计学意义(P<0.05)。术后6、12、24、48 h时观察组活动性疼痛评分低于对照组,差异有统计学意义(P<0.01)。结论规范化疼痛管理能有效控制肝胆外手术患者术后疼痛程度,有利于患者的快速康复。

Objective To observe the effect of standardized pain management on postoperative pain in patients undergoing hepatobiliary surgery.Methods Totally 547 inpatients undergoing hepatobiliary surgery were divided into control group(n=369)and observation group(n=178).Routine interventions on postoperative pain were adopted in the control group,and the standardized pain management was carried out in the observation group.Incidence of moderate-severe resting pain and the score of active pain were compared between the two groups.Results The incidence of moderate-severe resting pain within 3 days after surgery was 20.22%in the observation group,which was lower than 23.31%in the control group(P<0.05).The score of Numerical Rating Scale for pain in the observation group was lower than that in the control group at 6、12、24、48 h after surgery,respectively(P<0.01).Conclusion Standardized pain management can effectively control the postoperative pain of patients,which is conducive to the rapid recovery of patients.