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目的:分析骨科患者术后急性疼痛控制的现状,探讨影响疼痛控制的主要因素,为临床选择镇痛药物和方案提供参考依据.方法:运用灰色关联分析法,对某院2016年3～4月的骨科手术患者病例资料中的指标进行回顾性分析.结果:术后疼痛控制各影响因素的关联度由高到低依次为:手术类型＞患者自控镇痛泵(Patient controlledanalgesia,PCA)类型＞给药方式＞镇痛药类型＞医疗保险类型＞使用镇痛药数量＞性别＞年龄.结论:大创伤手术后的疼痛控制尤为重要和棘手;对患者加强疼痛认识和PCA使用方法的宣教,提高PCA使用正确率和镇痛效果;深入研究PCA高效镇痛配方,提高PCA有效率.“,”Objective:To analyze the status of postoperative pain control in orthopedic patients,exploring the main factors affecting pain control,further provide references for clinical selection of analgesic drugs and development of medicine regimes.Methods:The grey relational analysis was used to retrospectively analyze the indexes from the medical records of orthopedic surgery patients in a hospital from March to April 2016.Results:The high to low corrections of the influential factors of postoperative pain control were as follows:surgery types ＞ patient controlled analgesia types ＞ mode types of delivery ＞ analgesics types ＞ medical insurance types ＞ analgesics used amount ＞ sex ＞ age.Conclusion:It was especially important and tricky for pain control after big traumatic surgery;Reinforced education to patients of pain and PCA use could improve the correct use rate and analgesic effects of PCA;Deep study of PCA efficient analgesic formula could improve the effective rate of PCA.