病人自控静脉镇痛在脊柱侧弯患者术后镇痛中的效果评价

摘要

目的：从有效性和安全性两个方面评价病人自控静脉镇痛在脊柱侧弯患者术后镇痛中的效果。方法：选取2014年3~8月本院择期行全身麻醉下脊柱侧弯矫形手术患者176例，随机分为病人自控静脉镇痛（PCIA）组和对照组进行术后随访。使用数字评定量表（numeric rating scale，NRS）评估患者术后6、24、48、72 h静息状态及运动状态下疼痛评分；记录术后不良反应发生情况，并与前一年同期同类型手术情况对比。结果：PCIA组患者术后6、24、48、72 h静息状态和运动状态下NRS评分显著低于对照组（P0.05). The usage of PCIA in 2014 was higher than that in 2013 (63.6% vs. 28.6%) and the percentage of mild pain at each time point in 2014 was higher than that in 2013 (P<0.05). Conclusion: PCIA can significantly alleviate postoperative pain and won’t increase the incidence of adverse reactions. As an important part of multimodal analgesia plan, PCIA can realize individualized postoperative analgesia.