CAJ | 학술논문

目的：观察疼痛干预在口腔颌面部手术术后镇痛效果，探讨不同手术方式术后疼痛程度。方法对93例口腔科手术患者按照不同的手术切口类型分组后，进行术后36内疼痛的调查及使用镇痛药物治疗效果的记录。结果口内切口组以中度疼痛为主，颌面颈部切口组以轻度疼痛为主，口内外交通切口组以中度疼痛为主，皮瓣移植多切口组以重度疼痛为主。给予干预后，中度疼痛的患者疼痛基本都能缓解至轻度疼痛，重度疼痛下降至中度疼痛和轻度疼痛。结论不同手术方式术后给予奥尔芬镇痛，镇痛效果显著。
목적：관찰동통간예재구강합면부수술술후진통효과，탐토불동수술방식술후동통정도。방법대93례구강과수술환자안조불동적수술절구류형분조후，진행술후36내동통적조사급사용진통약물치료효과적기록。결과구내절구조이중도동통위주，합면경부절구조이경도동통위주，구내외교통절구조이중도동통위주，피판이식다절구조이중도동통위주。급여간예후，중도동통적환자동통기본도능완해지경도동통，중도동통하강지중도동통화경도동통。결론불동수술방식술후급여오이분진통，진통효과현저。
Objective To observe the postoperative analgesia effect of pain intervention for oral and maxillofacial surgery and dis-cuss the degree of postoperative pain of different operation modes. Methods 93 patients underwent stomatological surgery were di-vided into four groups according to the operation incision of different types. And the pain within 36 hours after operation of the patients was investigated; the analgesia effect of the analgesic drugs used by the patients was recorded. Results Intraoral incision group mainly had moderate pain, maxillofacial and neck incision group mainly had mild pain, mouth inside and outside traffic in-cision group mostly had moderate pain, and skin flap transplantation multi-incision group primarily had severe pain. After the in-tervention, the moderate pain could decline to mild pain basically, and severe pain could decrease to moderate pain and mild pain. Conclusion The postoperative analgesic effect of olfen is remarkable for patients with stomatological surgery by different operation methods.