Bagi I A, Ahmed M E
Khartoum Teaching Hospital, Sudan.
East Afr Med J. 1993 Aug;70(8):502-5.
Ninety eight general surgical patients were studied prospectively to determine the degree and severity of postoperative pain during the first 18 hrs following surgery. In 93% of the patients there was some degree of postoperative pain and in 64.4% the pain was moderate, severe or intolerable. Only 64.2% of the patients complained of pain to the medical staff, the remainder kept silent despite their sufferings. Pethidine was the most commonly administered analgesic and the dose per patient was 1.2. More diligent approach to the problem of postoperative pain is needed. Adequate dosage and more frequent administrations of analgesic should be given to post-operative patients. Moreover, patients need to be taught that intolerable pain is not an acceptable postoperative sequelae in exchange for cure.
对98例普通外科手术患者进行了前瞻性研究，以确定术后18小时内疼痛的程度和严重程度。93%的患者有一定程度的术后疼痛，64.4%的患者疼痛为中度、重度或难以忍受。只有64.2%的患者向医护人员诉说疼痛，其余患者尽管痛苦却保持沉默。哌替啶是最常用的镇痛药，每位患者的剂量为1.2。需要更积极地解决术后疼痛问题。应给予术后患者足够的剂量并更频繁地使用镇痛药。此外，需要教导患者，不能将难以忍受的疼痛作为术后可接受的后遗症来换取治愈。
