[Evaluation of the analgesic effect of Acute Pain Service in thoracic surgery].

Objective: To observe the analgesic effect, complication and patient satisfaction of Acute Pain Service (APS) after thoracic surgery. Methods: The clinical data were collected from 264 patients who underwent different thoracic surgery from January 2017 until December 2019 retrospectively. They were divided into thoracotomy group (group O) and thoracoscopy surgery group (group T). There were 90 cases in group O and 174 cases in group T. According to the use of APS, the group O is divided into the no-APS group (group O1) and the APS group (group O2), the group T is divided into the no-APS group (group T1) and the APS group (group T2). The effect of postoperative analgesia, the incidence of nausea and vomiting and the satisfaction of patients were compared between group O1 and group O2, group T1 and group T2, respectively. Results: In the resting state, the Numeric Rating Scales (NRS) scores of the group O2 at 0 h (0.92±0.50 vs 1.59±0.62), 4 h (0.92±0.50 vs 2.06±1.03), 8 h (0.92±0.50 vs 2.18±1.13), 12 h (0.92±0.50 vs 2.47±1.42), 24 h (1.00±0.71 vs 2.53±1.42), and 48 h (1.00±0.71 vs 2.35±1.80) after leaving the Anesthesia Recovery Room (PACU) were significantly lower than those of the group O1 (all P< 0.05), and in the active state, the NRS scores of the group O2 at 0 h ( P= 0.023), 4 h ( P= 0.001), 8 h ( P= 0.000), 12 h ( P= 0.001), 24 h ( P= 0.000), 48 h ( P= 0.000), and 72 h ( P= 0.019) after leaving the PACU were significantly lower than those of the group O1 (all P< 0.05). In the resting state, the NRS scores of the group T2 at 4 h ( P= 0.029), 8 h ( P= 0.008), 12 h ( P= 0.006), and 24 h ( P= 0.013) after leaving the PACU were significantly lower than those of the group T1 (all P< 0.05). In the active state, the NRS scores of the group T2 at 4 h ( P= 0.019), 8 h ( P= 0.000), 12 h ( P= 0.001), 24 h ( P= 0.002), and 48 h ( P= 0.002) after leaving the PACU were significantly lower than those of the group T1 (all P< 0.05). Conclusion: APS can significantly reduce the NRS scores after thoracotomy and thoracoscopic surgery compared to ordinary analgesia model.