Application of multi-modal pain management in painless ward construction of traumatic foot and ankle surgery
多模式疼痛管理在创伤足踝外科无痛病房建设中的应用探讨

摘要

目的 探讨在创伤足踝外科无痛病房建设中应用多模式疼痛管理的效用价值。方法 此次研究共选取126例患者进行对比实验，均足踝部创伤病症，采取盲抽方式进行分组，沿用常规护理模式的对照组与实施多模式镇痛管理的观察组各63例患者，对两组临床应用效果进行探究比较。结果 经实验中各项数据表明，观察组患者在术后4h、8h、12h、24h等时间节点VAS评分均低于对照组，与此同时，相比对照组， 观察组患者术后主诉疼痛以及镇痛药物追加次数均显著降低，观察组对护理管理工作满意度优于对照组（P＜0.05）。结论 对于足踝创伤患者而言，实施多模式镇痛管理手段可有效降低患者疼痛感，最大程度的降低各镇痛药物追加应用次数，促进患者整体满意度的提升。

Abstract

Objective To explore the utility value of multi-modal pain management in painless ward of traumatic foot and ankle surgery.
Methods A total of 126 patients were selected for comparative experiment in this study. All patients with foot and ankle trauma were divided into groups by blind extraction. The control group with conventional nursing mode and the observation group with multi-mode analgesia management had 63 patients in each group, and the clinical effects of the two groups were explored and compared.
Results The experimental data showed that the VAS scores of patients in the observation group were lower than those in the control group at 4h, 8h, 12h, 24h and other time points after surgery; meanwhile, compared with the control group, patients in the observation group reported significantly lower postoperative pain and the number of additional analgesic drugs, and the satisfaction of nursing management in the observation group was better than that in the control group (P < 0.05).
Conclusion   For patients with foot and ankle trauma, the implementation of multi-mode analgesia management can effectively reduce the pain of patients, minimize the number of additional analgesic drugs, and promote the overall satisfaction of patients.