Khảo sát sự hài lòng của người bệnh khi sử dụng giảm đau ngoài màng cứng sau phẫu thuật cố định cột sống

Abstract

Objective: To evaluate patients' satisfaction with patient controlled epidural analgesia (PCEA) in patients treated by lumbar spine fixation surgery. Subject and method: Prospective study over 52 patients were treated by the lumbar spondylolisthesis surgery by using transpedicular screw fixation at Spinal Surgery Department - 108 Military Central Hospital, from 11/2021 to 4/2022 used patient-controlled epidural analgesia after operation. Result: The average age was 58.4 ± 6.8 years, ratio of female to male was 38/14, average long of surgical incision was 10.1 ± 2.2cm, and medium long of time for surgery was 80 ± 24.8 minutes. VAS had medium mark 2.3 ± 0.85 for pain in the surgical incision. All of patients did not need to use opioid analgesics. 90.38% of patients used conjunction with NSAID. The ratio of adverse effects was low with 23.07%, all of patients were satisfied with the pain-relieving effect, the convenience of pain relief, the following up and taking care of medical staff. There were 96.16% satisfied and 3.84% unsatisfied with the attitude of medical staff. Conlusion: The study was performed on 52 patients using controlled epidural analgesia after surgery to fix the lumbar spine due to spondylosis having results: 96.16% of patients using patient controlled epidural analgesia after lumbar spine fixation surgery due to spondylolisthesis are satisfied with the analgesic effect, the convenience, the following up and taking care and attitude communication of medical staff.