腰椎术后患者疼痛管理智能化方案的制订及应用

目的 制订腰椎术后患者疼痛管理智能化方案并探讨其实施效果。方法 采用非同期对照研究,便利选取郑州市某三级甲等综合医院脊柱病区腰椎术后患者,其中2018年5月—2019年2月115例为试验组,成立多学科协作团队,依托骨科远程辅助诊断智能机器人及自控镇痛电子泵,实施疼痛管理智能化方案;2017年12月—2018年3月120为对照组,实施常规疼痛管理。比较两组疼痛管理及康复的相关指标。 结果 试验组护士疼痛评估时间、患者疼痛控制时间及平均住院日短于对照组,患者术后最严重疼痛程度低于对照组,患者镇痛满意度优于对照组,差异均有统计学意义（均P<0.05）。 结论 腰椎术后患者疼痛管理智能化可提高疼痛管理的效率,改善患者疼痛结局,缩短患者平均住院日。

Formulation and application study on intelligent pain management program of patients after lumbar spine surgery

Objective To develop a intelligent pain management program and analyze effects for the post lumbar surgery patients. Methods A non-synchronous controlled study was conducted from a tertiary hospital in Zhengzhou. 115 patients from May 2018 to February 2019 were selected as the experimental group receiving intelligent pain management. Totally 120 patients who underwent post lumbar surgery in the Department of Orthopedics of our hospital from December 2017 to March 2018 were selected as the control group receiving routine nursing care. Pain and rehabilitation indicators of post lumber surgery patients before and after intervention by intelligent pain management were compared. Results There were statistically significant differences in pain assessment time of nurses,pain controlled time by nurses,most severe pain scores of patients after operation,patients’ satisfaction of pain relief,and length of stays between the 2 groups（P<0.05）. Conclusion Intelligent pain management can improve work efficiency of nurses and the pain status,shorten length of stays of the post lumbar surgery patients.