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围手术期多学科急性疼痛管理的应用研究

Application research on multidiscipline team for pain in perioperative period
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摘要 目的探究围手术期多学科急性疼痛管理(PMDT)的应用效果。方法选取2018年3月至2020年7月于九江学院附属医院外科行手术治疗的136例患者作为研究对象,采用随机数字表法分为研究组与对照组,每组68例。对照组采用外科常规疼痛处理方法,研究组采用围术期PMDT,比较两组不同时间点视觉模拟评分法(VAS)评分及疼痛效果。结果两组VAS评分组间、时间、交互比较差异有统计学意义(P<0.05)。组内比较:术后第1、2、3天,两组VAS评分均高于手术当天,且对照组术后第2、3天VAS评分均高于术后第1天,差异有统计学意义(P<0.05);两组组内其他时间两两比较差异无统计学意义。组间比较:手术当天,两组VAS评分比较差异无统计学意义;术后第1、2、3天,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05)。观察组术后镇痛总有效率为95.59%,明显高于对照组的83.82%,差异有统计学意义(P<0.05)。结论围手术期PMDT模式对于改善患者术后疼痛,提高镇痛效果,值得临床推广应用。 Objective To explore the application effect of multidiscipline team for pain(PMDT)in the perioperative period.Methods A total of 136 patients who underwent surgical treatment in the department of Surgery of Affiliated Hospital of Jiujiang University from March 2018 to July 2020 were selected as the research subjects,and they were divided into the observation group and the control group according to random number table method,with 68 cases in each group.The control group was treated with conventional surgical pain management,and the study group was treated with perioperative multidisciplinary pain management.The visual analogue scale(VAS)score at different time points and pain effects were compared between the two groups.Results There were significant differences in VAS scores between the two groups of group,time points and interaction(P<0.05).Comparison within the group:on the 1 st,2 nd and 3 rd day after operation,the VAS scores of the two groups were higher than those on the day of operation,and the VAS scores in the control group on the 2 nd and 3 rd day after operation were higher than those on the 1 st day after operation,the differences were statistically significant(P<0.05);there was no significant difference between the two groups at other time points.Comparison between groups:on the day of operation,there was no significant difference in VAS scores between the two groups;on the 1 st,2 nd and 3 rd day after operation,the VAS scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The total effective rate of postoperative analgesia in the observation group was 95.59%,which was significantly higher than 83.82%in the control group,and the difference was statistically significant(P<0.05).Conclusion The multidisciplinary acute pain management model in the perioperative period is worthy of clinical application for improving postoperative pain and analgesic effects.
作者 李成涛 李淑琴 崔辉 程功文 LI Chengtao;LI Shuqin;CUI Hui;CHENG Gongwen(Department of Anesthesiology,Affiliated Hospital of Jiujiang University,Jiujiang,Jiangxi,332000,China;Department of Thoracic Surgery,Affiliated Hospital of Jiujiang University,Jiujiang,Jiangxi,332000,China)
出处 《当代医学》 2023年第33期129-132,共4页 Contemporary Medicine
基金 2018年江西省教育厅科技项目一般项目(GJJ180911)。
关键词 围手术期 多学科疼痛管理 疼痛程度 Perioperative period Multidiscipline team for pain Degree of pain
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