婴幼儿先心病术后当日疼痛管理现状调查

目的 ：描述婴幼儿先天性心脏病（以下简称＂先心病＂）外科术后当日拔除气管插管后8h内疼痛情况以及护理人员进行疼痛管理现状。方法 ：采用一般资料登记表、疼痛行为评估量表（FLACC）、镇痛镇静药物及非药物镇痛措施登记表对北京市某心血管病专科医院20名PICU患儿进行调查。结果 ：先心病婴幼儿外科术后当日拔除气管插管后疼痛情况存在波动,0h、2-4h疼痛评分较高,镇痛镇静药物以及非药物镇痛措施在2-4h中使用比例由15%增加到了70%,5-8h疼痛评分明显降低。结论：先心病婴幼儿术后当日疼痛状况较重,药物及非药物镇痛措施使疼痛状况得到一定改善,但疼痛管理仍须加强。

Status of pain management for infants with congenital heart disease

Objective： To investigate the status of pain management for infants with congenital heart disease within 8 h after surgery and extubation. Methods： A total of 20 PICU infants from a cardiology hospital were investigated with general information questionnaire, FLACC tool, analgesia-sedation and non-drug pain relief measures registration form. Results： FLACC score was high in 0 h and 2-4h. The rate of using analgesia-sedation and non-drug pain relief measures increased from 15% to 70%. Then the FLACC scores decreased after 5h. Conclusion：Infants suffer from severe pain on the first day after extubation and it has been improved by analgesia-sedation and non-drug pain relief measures. However, the pain management needs to be strengthened.