CAJ | 학술논문

目的：探讨规范化疼痛管理在肩关节镜手术患者围手术期应用的效果。方法将2011年10月～2013年12月行肩关节镜手术的60例患者，通过计算机随机法分为对照组和实验组，各30例。实验组采用围手术期规范化疼痛管理。对照组采取传统按需镇痛处理方法，即患者疼痛时给予镇痛处理。观察两组术后3天内疼痛评分、患者对疼痛控制的满意度。结果实验组疼痛评分在手术后6h、术后第1、2、3天低于对照组（P＜0．05）；术后3天镇痛满意度评分高于对照组，有显著性差异（P＜0．05）。结论肩关节镜手术患者实施规范化疼痛管理，可以使患者以无痛或最低的疼痛状态度过围手术期，提高患者的舒适度，使其能尽早进行康复功能锻炼，促进疾病早日康复，提高了护理质量。
목적：탐토규범화동통관리재견관절경수술환자위수술기응용적효과。방법장2011년10월～2013년12월행견관절경수술적60례환자，통과계산궤수궤법분위대조조화실험조，각30례。실험조채용위수술기규범화동통관리。대조조채취전통안수진통처리방법，즉환자동통시급여진통처리。관찰량조술후3천내동통평분、환자대동통공제적만의도。결과실험조동통평분재수술후6h、술후제1、2、3천저우대조조（P＜0．05）；술후3천진통만의도평분고우대조조，유현저성차이（P＜0．05）。결론견관절경수술환자실시규범화동통관리，가이사환자이무통혹최저적동통상태도과위수술기，제고환자적서괄도，사기능진조진행강복공능단련，촉진질병조일강복，제고료호리질량。
Objective To explore the effect of standard pain management on patients with operation of the shoulder joint by arthroscopy .Methods 60 patients with operation of the shoulder joint by arthroscopy were selected from October 2011 to December 2013 and divided into two groups randomly .Patients of experiment group received standard pain manage-ment such as pain assessment-pain education-preemptive analgesia-multimodal analgesia-individualized analgesia while pa-tients of control group received conventional pain management .And observed the pain score three days after operation and satisfaction of pain control .Results The score of the experimental group were lower than the control group at 6hours 、1day、2days and 3days after operation(P<0 .05) ,and the satisfaction were higher than the control group at 3days after opera-tion(P<0 .05) .Conclusion standard pain management could relieve the pain of patients with operation of the shoulder joint by arthroscopy and improve quality of care .