神经外科开颅术后患者疼痛及控制状况的调查

目的调查神经外科开颅手术患者术后疼痛及控制状况，为术后镇痛治疗提供依据。方法选择北京天坛医院神经外科开颅手术患者100例，采用疼痛视觉模拟评分（VAS）、Ramsay镇静评分于术后2h和24h评估患者意识和疼痛状况，并进行术后疼痛调查问卷，记录不良事件。结果本组患者术后均使用静脉镇痛泵。术后2h无痛38例（38％），轻度疼痛49例（49％），中度疼痛12例（12％），重度疼痛1例（1％）；术后24h无痛24例（24％），轻度疼痛30例（30％），中度疼痛36例（36％），重度疼痛10例（10％）。结论神经外科开颅手术患者术后存在不同程度的疼痛，术后镇痛需要进一步深化。

Investigation of postoperative pain and analgesia of patients after craniotomy

Objective To investigate the postoperative pain and analgesia of patients after craniotomy, so as to provide a basis for postoperative pain control. Methods A total of 100 craniotomy patients in Tiantan Neurosurgery Institute in Beijing were investigated with numeric rating scale （NRS）, Glasgow coma scale, OAA/S sedation scale and Ramsay sedation scale. Postoperative pain and conscious were evaluated in 2 and 24 hours after operation, and questionnaire was used as well as the side effects were recorded. Results All patients received intravenous analgesia pump after the surgery. In 2 hours, 38 felt no pain （38%）, 49 had mild pain （49%）, 12 had moderate pain （ 12% ） and 1 had severe pain （ 1% ）, while in 24 hours, 24 felt no pain （24%）, 30 had mild pain （30%）, 36 had moderate pain （36%） and 10 had severe pain （10%）. Conclusions There are different degrees of postoperative pain after craniotomy, and pain control should be carried on further more.