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术后疼痛控制——处方模式与患者体验。

Post-operative pain control--prescription pattern and patients' experience.

作者信息

Soyannwo O A

机构信息

Dept of Anaesthesia, University College Hospital, Ibadan, Nigeria.

出版信息

West Afr J Med. 1999 Jul-Sep;18(3):207-10.

Abstract

The prescription pattern for post-operative pain and patients' experience with pain relief were studied in 200 adult patients who had anaesthesia and surgery at the University College Hospital, Ibadan. Intermittent intramuscular injection of analgesics were prescribed for 192 patients (96%) while other routes were intravenous injections (2%), intravenous infusion (1%) and intermittent epidural injection (1%). Moderate to severe pain was reported by 46% and 49.5% of the patients immediately after surgery and before subsequent analgesic doses were due respectively. Pain disturbed patients from sleeping, moving in bed and coughing. It also made patients cry (20%), feel depressed (23%), anxious (12.5%) and angry (14.5%). Despite the high incidence of pain and the associated disturbances, 178 patients (89%) still found overall pain relief satisfactory.

摘要

对在伊巴丹大学学院医院接受麻醉和手术的200名成年患者的术后疼痛处方模式及患者的疼痛缓解体验进行了研究。192名患者(96%)的镇痛药物采用间歇性肌肉注射,其他给药途径包括静脉注射(2%)、静脉输注(1%)和间歇性硬膜外注射(1%)。分别有46%和49.5%的患者在术后即刻及下次镇痛剂量给药前报告有中度至重度疼痛。疼痛干扰患者睡眠、床上活动及咳嗽。疼痛还致使患者哭泣(20%)、感到沮丧(23%)、焦虑(12.5%)和愤怒(14.5%)。尽管疼痛发生率高且伴有各种不适,但仍有178名患者(89%)对总体疼痛缓解情况感到满意。

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