KIỂM SOÁT ĐAU Ở BỆNH NHÂN VIÊM TỤY CẤP ĐIỀU TRỊ TẠI BỆNH VIỆN ĐA KHOA TỈNH PHÚ THỌ

Abstract

Objective: “Describe pain management in patients with acute pancreatitis treated at Phu Tho Provincial General Hospital”. Subjects and Methods:

A interVention study. Including 52 acute pancreatitis patients treated at Phu Tho General Hospital from February 2019 to NoVember 2022. Study patients were intraVenously administered 1000mg paracetamol, or 1 mg/kg pethidin with 100 mL normal saline with a 4-5 min infusion. Pain measurements of the patients were conducted at baseline and 30 min after the treatment interVention. Changes in pain scores were calculated by subtracting the median scores at baseline and 30 min as pairs. Results: Mean age was 51.5±12.3 years old. Group 35-49 accounted for the highest rate of 80.8%. Male accounted for 69.2%, female accounted for 30.8%. Common clinical symptoms are: abdominal pain (100%), pain in the Vertebrae (63.5%), abdominal distension (42.4%), nausea (55.8%). Acute pancreatitis is caused by alcoholism accounting for 53.8%, due to Triglycerides accounting for the lowest rate of 9.6%. Mean baseline and 30-minute VAS scores were similar in both groups. Changes in scores at baseline and at 30 min were not significantly different between the 2 groups. There was no difference in pain improVement between the 2 groups. Conclusions: IntraVenous Paracetamol and Penthidine were not superior to each other in the control of acute pain.