452例烧伤整形患者麻醉性镇痛剂的临床应用

目的：观察烧伤整形术后患使用阿片类麻醉性镇痛剂的效果。方法：对各类烧伤和整形患术后疼痛的临床表现，麻醉性镇痛剂的使用人数，用药种类，每次剂量及每日用药次数进行回顾性统计分析。结果：在烧伤整形科，由于对疼痛治疗重要性认识不够，导致用药不当并镇痛不足。结论：临床概念上的混淆和“滥用”阿片类药品，是镇痛不足的主要原因，章提出了克服镇痛不足的相应对策。

Clinical application of narcotic analgesics in patients with burn and plastic surgery

Objective To investigate the effects of narcotic analgesics ( opioids) on the patients with burn and plastic surgery. Methods Retrospective statistical analysis was carried out in 452 patients with burn and plastic surgery in terms of the clinical signs of pain, the number of the patients who used the drug, the kinds of the drugs used, the doses and the number of use each day. Results Inappropriate and insufficient application of narcotic analgesics was common in the past due to our incomplete knowledge of the importance of postburn and post-operative pain in patients with burn and plastic surgery,and also confused concepts of the pain and misuse of opioids, often leading to insufficient analgesia.Conclusion Much attention should be paid to navcotic analgesia in patients with burn plastic surgery. Some measures were suggested.