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目的分析我院住院患者围术期镇痛药物使用的情况。方法采用回顾性调查方法,对我院普外科、骨科和妇科100例患者围术期镇痛药物的使用进行调查分析。结果术前3 d、手术日及术后使用镇痛药物的患者比例分别为5%、54%和61%。患者使用镇痛药物的主要种类为阿片类药物和非甾体抗炎药物。患者术后使用自控镇痛泵(PCA)的比例为27%,PCA给药多为静脉途径,品种主要为吗啡注射液。术后只有18%的患者进行视觉模拟评分法(VAS)评分。术后镇痛药物不良反应的发生率是7%。结论我院围术期镇痛药物的品种选择相对较单一,阿片类与非阿片药物联合应用的比例不高,临床更倾向于选择起效快、效果明显、价格较低的药物。
Objective To analyze the use of perioperative analgesics in hospitalized patients in our hospital. Methods A retrospective survey was conducted to investigate the use of perioperative analgesic drugs in 100 cases of general surgery, orthopedics and gynecology in our hospital. Results The proportion of patients who received analgesic drugs on the 3 days before operation, 5 days after operation and 54% after operation were 61%. The main types of analgesics used by patients are opioids and NSAIDs. Postoperative patients with controlled analgesia pump (PCA) ratio was 27%, PCA mostly intravenous route, the main varieties of morphine injection. Only 18% of patients underwent visual analogue scale (VAS) score after surgery. Postoperative analgesic adverse drug reaction rate was 7%. Conclusions Our hospital selection of perioperative analgesic drugs is relatively simple, opioid and non-opiate drugs in combination is not high, the clinical is more inclined to choose fast onset, the effect is obvious, the drug of lower price.