围手术期个体化多模式镇痛的临床应用

目的评价围手术期个体化多模式镇痛的疗效。方法将470例于我科实施手术的患者以严重疼痛、重度疼痛、中度疼痛及轻度疼痛划分为A、B、C、D四组,各组在围手术期使用不同的镇痛模式,于术后不同时间段（2h、24h、48h、4d、8d、12d）采用视觉模拟评分法（VAS）评估患者疼痛程度。结果各组VAS评分低,疼痛程度弱。结论围手术期采用个体化多模式镇痛能有效地减轻术后疼痛,有利于功能的康复。

Perioperative individual multimode analgesia in orthopedic surgery

Objective To evaluate the perioperative effect of multimodal and individual pain management in orthopedic surgery.Methods A total of 470 patients receiving orthopedic surgery in our department were divided into four groups（A,B,C,D）according to the degree of pain（extreme,severe,moderate and mild）.Different modes of analgesia were used for different groups in the perioperative period.Visual analog scale（VAS）was used to assess pain degrees at different time points after surgery（2 h,24 h,48 h,4 d,8 d and 12 d）.Results The VAS scores were low,and the pain was weak.Conclusion Perioperative individual multimodal analgesia can effectively relieve postoperative pain,and speed functional recovery of the patients.