规范化疼痛管理在肩关节镜手术患者应用中效果观察

目的探讨规范化疼痛管理在肩关节镜手术患者围手术期应用的效果。方法将2011年10月～2013年12月行肩关节镜手术的60例患者,通过计算机随机法分为对照组和实验组,各30例。实验组采用围手术期规范化疼痛管理。对照组采取传统按需镇痛处理方法,即患者疼痛时给予镇痛处理。观察两组术后3天内疼痛评分、患者对疼痛控制的满意度。结果实验组疼痛评分在手术后6h、术后第1、2、3天低于对照组(P0.05);术后3天镇痛满意度评分高于对照组,有显著性差异(P0.05)。结论肩关节镜手术患者实施规范化疼痛管理,可以使患者以无痛或最低的疼痛状态度过围手术期,提高患者的舒适度,使其能尽早进行康复功能锻炼,促进疾病早日康复,提高了护理质量。

The Research of Standard Pain Management on Patients with Arthroscopic Shoulder Surgery

Objective To explore the effect of standard pain management on patients with operation of the shoulder joint by arthroscopy. Methods 60 patients with operation of the shoulder joint by arthroscopy were selected from October 2011 to December 2013 and divided into two groups randomly. Patients of experiment group received standard pain management such as pain assessment-pain education-preemptive analgesia-multimodal analgesia-individualized analgesia while patients of control group received conventional pain management. And observed the pain score three days after operation and satisfaction of pain control. Results The score of the experimental group were lower than the control group at 6hours , 1 day, 2days and 3days after operation（P〈0. 05）, and the satisfaction were higher than the control group at 3days after operation（P〈0. 05）. Conclusion standard pain management could relieve the pain of patients with operation of the shoulder joint by arthroscopy and improve quality of care.