骨科围手术期的镇痛初探

The Primary Perioperative Analgesia Process in Orthopaedic Surgery

摘要: 目的：探讨骨科围手术期镇痛的临床实施效果。方法：2013年3月~2013年5月，共实施骨科围手术期镇痛24例，采用数字评价量表(Numeric Rating Scale)(简称NRS)进行术后评分，计算术后住院天数。结果：术后NRS评分最高5分，最低0分，平均0.88分，术后最长住院日9天，最短2天，平均术后住院天数为4.4天。结论：采用骨科围手术期镇痛(术前超前镇痛、术中鸡尾酒疗法局部镇痛、术后镇痛、多模镇痛)患者术后疼痛明显减轻，恢复较快，缩短了术后住院天数，值得临床采用。

Abstract:  Objective: To investigate the clinical effeciveness of the perioperative analgesia for orthopaedic surgeries. Methods: Between March 2013 and May 2013, 24 patients received orthopaedice surgeries were treated with the perioperative analgesia. The Numeric Rating Scale (NRS) was used to measure the postoperative pain and the stay days after operation were counted. Results: The maximum NRS was 5, and the minimum NRS was 0, the average NRS was 0.88, while the stay days in hospital postoperative period were 2 - 9 days, the average stay days were 4.4 days. Conclusion: The perioperative analgesia (the preemptive analgesia, intraoperative cocktail local infiltration analgesia, postoperative pain management and multimodal analgesia) can reduce the postoperative pain, recover sooner and shorten the stay in hospital after surgery, it could be applied in the clinical practice.