Study on the Effect of Analgesia Pump in the Postoperative Care of Patients with Thyroid Carcinoma
Objective To analyze the effect of intravenous analgesic pump in postoperative patients with thyroid malignancy.Methods A total of 124 patients who underwent surgery for thyroid malignancy in a hospital were retrospectively analyzed,and were divided into observation group(84 patients)and control group(40 patients)according to the use of intravenous analgesic pump or not.The observation group was further divided into observation group 1(46 patients)and observation group 2(38 patients)according to the non-prophylactic use or prophylactic use of antiemetic drugs.χ2 test and Mann-Whitney U test were used to evaluate the differences in basic clinicopathological features,the postoperative pain scores,and the incidence of adverse reactions such as nausea and vomiting between different groups.Results The difference in median postoperative pain scores was not statistically significant between observation group 1 and control group(P= 0.860),while it was statistically significant between observation group 2 and control group(P＜0.001).The incidence of nausea and vomiting on the day after surgery was 60.9%in observation group 1,which was higher than that in the control group(35.0%),with a statistically significant difference(P=0.017),while the incidence in observation group 2 was 18.4.%,which was lower than that in the control group(35.0%),without statistical significance(P=0.099).The incidence of nausea and vomiting on the first postoperative day was 19.6%in observation group 1,which was higher than that in the control group(10.0%),without statistical significance(P=0.217),and the incidence of was 5.3%in observation group 2,which was lower than that in the control group(10.0%),without statistical significance(P=0.676).Conclusions The effect of intravenous analgesic pump alone was not obvious in relieving postoperative pain in patients with thyroid malignancy,and the incidence of nausea and vomiting on the day after surgery was higher than that in patients without the use of analgesic pump.In contrast,patients with thyroid malignancy who were treated with intravenous analgesic pump accompanied by prophylactic antiemetic medication experienced little pain and a lower incidence of postoperative nausea and vomiting than those without the use of analgesic pump,resulting in a significant benefit to patients with thyroid malignancy.
Analgesia pumpThyroid carcinomaPostoperative painNausea and vomiting
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