Bredahl C, Dahl B L, Toft P
Aalborg Sygehus, anaestesi- og intensivafdelingen.
Ugeskr Laeger. 1998 Oct 12;160(42):6070-4.
Postoperative pain therapy in modern clinical practice still has significant deficits. Establishing acute pain services is reported to be a method of improving pain therapy. In this prospective study, 104 orthopaedic patients were treated with a postoperative epidural infusion of a combination of bupivacaine and sufentanil. Pain intensity and side effects were recorded daily by pain management personnel, and the pain therapy was adjusted according to the patients' need. The results showed that pain control was insufficient in 29 patients, and that side effects developed in 45 patients, included one patient with late respiratory depression. We conclude that acute pain service is essential in order to improve postoperative analgesia.
现代临床实践中的术后疼痛治疗仍存在显著不足。据报道，建立急性疼痛服务是改善疼痛治疗的一种方法。在这项前瞻性研究中，104名骨科患者接受了布比卡因和舒芬太尼联合术后硬膜外输注治疗。疼痛管理人员每天记录疼痛强度和副作用，并根据患者需求调整疼痛治疗方案。结果显示，29名患者疼痛控制不足，45名患者出现副作用，其中包括1名发生迟发性呼吸抑制的患者。我们得出结论，急性疼痛服务对于改善术后镇痛至关重要。
