Kolawole I K, Fawole A A
Department of Anaesthesia, University of Ilorin Teaching Hospital (UITH), Ilorin, Nigeria.
West Afr J Med. 2003 Dec;22(4):305-9. doi: 10.4314/wajm.v22i4.28052.
To assess the common methods of analgesia used in our hospital following caesarean section, their effectiveness and patient satisfaction.
A prospective descriptive study.
The study was conducted at the University of Ilorin Teaching Hospital (UITII), Ilorin, Nigeria over a period of 18 months (February 1999 - July 2000).
We studied prospectively the methods used for postoperative analgesia in 88 consecutive patients who had elective caesarean section under general anaesthesia. Pain assessment was carried out by direct questioning method using a 4-point verbal rating scale of none, mild, moderate and severe, in the recovery room, and on the mornings of days 1 and 2 postoperatively. Patients' satisfaction of pain relief was assessed on day 2 on a 2-point scale of satisfactory or unsatisfactory. The postoperative drug sheets and medication charts were also reviewed and analysed.
Surgeon-prescribed, nurse-administered intermittent intramuscular administration of analgesics was the method used for postoperative pain control in all the patients. Pentazocine was prescribed in 86.4% of patient while the remaining 13.6% had Tramadol. Most of the patients (95%) experienced some degree of pain in the immediate postoperative period. The first 24 hours postoperatively was particularly painful for the patients with 79.6% and 54.6% reporting moderate to severe pain in the recovery room and on day 1 respectively. However, despite the high incidence of pain most of the patients (85.2%) still expressed satisfaction with the level of pain relief.
Pain remains a significant problem following surgical operations in our environment.
评估我院剖宫产术后常用的镇痛方法、其有效性及患者满意度。
前瞻性描述性研究。
研究在尼日利亚伊洛林大学教学医院（UITII）进行，为期18个月（1999年2月至2000年7月）。
我们前瞻性地研究了88例在全身麻醉下接受择期剖宫产的连续患者术后镇痛所采用的方法。在恢复室以及术后第1天和第2天早晨，采用直接询问法，使用无、轻度、中度和重度4级口头评分量表进行疼痛评估。在术后第2天，采用满意或不满意2级量表评估患者对疼痛缓解的满意度。同时还对术后药单和用药记录进行了审查和分析。
所有患者术后疼痛控制均采用外科医生开处方、护士给予的间断肌内注射镇痛药的方法。86.4%的患者使用喷他佐辛，其余13.6%使用曲马多。大多数患者（95%）在术后即刻经历了一定程度的疼痛。术后最初24小时对患者来说尤其疼痛，分别有79.6%和54.6%的患者在恢复室和术后第1天报告有中度至重度疼痛。然而，尽管疼痛发生率很高，但大多数患者（85.2%）仍对疼痛缓解程度表示满意。
在我们所处的环境中，手术后疼痛仍然是一个重要问题。
