Wilson J E, Pendleton J M
Department of Emergency Medicine, Akron City Hospital, OH.
Am J Emerg Med. 1989 Nov;7(6):620-3. doi: 10.1016/0735-6757(89)90286-6.
A review of the charts of 198 patients who were admitted through the emergency department with a variety of acutely painful medical and surgical conditions revealed that 56% received no analgesic medication while in the emergency department. In the 44% of patients who received pain medication, 69% waited more than 1 hour while 42% waited more than 2 hours before narcotic analgesia was administered. In addition, 32% initially received less than an optimal equianalgesic dose of narcotic when compared with morphine. This study demonstrates that narcotic misues, in the form of oligoanalgesia, is prevalent and is the shared responsibility of both emergency physicians and housestaff consultants.
对198例因各种急性疼痛性内科和外科疾病通过急诊科入院的患者病历进行回顾发现，56%的患者在急诊科期间未接受任何止痛药物治疗。在接受止痛药物治疗的44%的患者中，69%等待了1个多小时，42%在给予麻醉性镇痛药之前等待了2个多小时。此外，与吗啡相比，32%的患者最初接受的麻醉性镇痛药剂量低于最佳等效镇痛剂量。这项研究表明，以镇痛不足形式出现的麻醉药物误用很普遍，这是急诊科医生和住院医师顾问共同的责任。
