TÌNH HÌNH SỬ DỤNG THUỐC GIẢM ĐAU SAU PHẪU THUẬT TẠI KHOA NGOẠI TỔNG HỢP BỆNH VIỆN ĐA KHOA BẠC LIÊU NĂM 2021-2022

Abstract

Background: Postoperative pain relief is an issue that needs to be taken care of in order to gradually help patients regain their psycho-physiological balance after surgery and improve the quality of treatment. Objectives: 1. To determine the characteristics of using analgesics after surgery at the General Surgery Department of Bac Lieu General Hospital in 2021-2022; 2. Determine the proportion of patients who are prescribed an unreasonable analgesics after surgery at the General Surgery Department of Bac Lieu General Hospital in 2021-2022. Materials and methods: A  cross-sectional  descriptive study  was performed  in  320 patient's medical record, who  was surgery and treated at the Department of General Surgery of Bac Lieu General from May 2021 to May 2022. Results: In the group of opioid analgesics, tramadol accounted for the highest rate of 12.2%, the next is morphine 5.3%. In the group of peripheral analgesics, paracetamol accounted for the highest rate of 87.8% and the lowest was meloxicam 0.6%. Tramadol combined with paracetamol accounted for the highest rate 11.6%. The proportion of patients who were prescribed to use pain relievers after surgery was not reasonable 28.8%, in which it was not reasonable for the indication 26.9%, the dose was 5.3%, the number of times of medication 4.7%, anti-inflammatory drugs. indicated 3.8%. Conclusion: Opioid analgesics are used at a relatively low rate for postoperative analgesia, but the proportion of patients prescribed postoperative analgesia is unreasonably high. Our finding showed that postoperative pain relief should be strengthen clinical pharmacy for ensuring patients safety and to avoid undesirable effects.