Application effect of multimodal pain management in postoperative patients of thyroid and breast surgery
多模式疼痛管理在甲乳外科术后患者中的应用效果研究

摘要

目的 探讨多模式疼痛管理在甲乳外科术后患者中的应用效果，评估其对疼痛控制、康复指标及术后并发症的影响。方法 选取2025年某院甲乳外科100例手术患者，分为两组对照。对照组50例常规镇痛，观察组50例采用多模式疼痛管理，包括术前预防、术中阻滞、术后药物与非药物干预。比较两组术后VAS评分、PONV发生率、首次下床时间、住院天数、用药量及满意度。结果 观察组术后各时间点VAS评分、PONV发生率均显著低于对照组。观察组首次下床时间和住院天数更短，阿片类药物用量减少36.7%，满意度更高。两组并发症发生率无显著差异。结论 多模式疼痛管理可减轻甲乳外科术后疼痛，减少药物不良反应，促进康复并提高满意度，值得临床推广。

Abstract

Objective To explore the application effect of multimodal pain management in postoperative patients of thyroid and breast surgery, and evaluate its impact on pain control, rehabilitation indicators and postoperative complications.
Methods 100 patients undergoing thyroid and breast surgery in a certain hospital in 2025 were selected and divided into two groups for control. 50 patients in the control group received conventional analgesia, while 50 patients in the observation group received multimodal pain management, including preoperative prevention, intraoperative block, and postoperative drug and non-drug intervention. The postoperative VAS scores, PONV incidence, first time to get out of bed, hospital stay days, medication dosage and satisfaction were compared between the two groups.
Results The VAS scores and PONV incidence at each time point after surgery in the observation group were significantly lower than those in the control group. The first time to get out of bed and hospital stay days in the observation group were shorter, and the dosage of opioid drugs was reduced by 36.7%, with higher satisfaction. There was no significant difference in the incidence of complications between the two groups.
Conclusion   Multimodal pain management can alleviate postoperative pain, reduce adverse drug reactions, promote rehabilitation and improve satisfaction, and is worthy of clinical promotion.