Abstract: Objective To explore the construction and effects of standard operation procedure（SOP） of pain management in patients undergoing transcatheter arterial chemoembolization（TACE）. Methods Patients in the experimental group received SOP of pain management,while patients in the control group received routine pain care of TACE. The degree of pain,the effect of pain and the satisfaction of pain control were compared between 2 groups. Results Among patients with mild and moderate pain,the main effect of time and the interaction effects of each group were significant,and the degree of pain relief in the experimental group was significantly better than that in the control group（P< 0.05）. However,among patients with severe pain,the main effect of time was significant（P< 0.05）;the interaction effect was not significant（P>0.05）,and there was no significant difference in the degree of pain relief between 2 groups（P>0.05）. The effect of pain in the experimental group was lower than that in the control group,and the satisfaction of pain control education and control methods were better than those in the control group（P< 0.05）. Conclusion SOP of pain management in TACE patients can alleviate the pain symptoms of patients with mild and moderate pain,and improve the pain outcomes of patients,and enhance patient satisfaction.

Key words: Standard Operation Procedure, Transcatheter Arterial Chemoembolization, Multidisciplinary Team, Pain Management

摘要： 目的 探讨肝动脉化疗栓塞（transcatheter arterial chemoembolization,TACE）患者疼痛管理标准流程的构建及实施成效。方法 2018年1月-9月,选取某三级甲等医院介入放射科一区收治入院的TACE患者为试验组,并根据患者术后疼痛程度进行二次分组,其中轻度组、中度组、重度组各30例;以同样的方法选取介入放射科二区收治入院的TACE患者90例为对照组。试验组实施本研究构建的疼痛管理标准流程,对照组实施TACE疼痛常规护理干预。比较两组术后疼痛程度、疼痛影响及疼痛控制满意度。结果 轻度和中度疼痛患者中,时间主效应、分组主效应以及两者间交互作用均显著,试验组疼痛缓解程度显著优于对照组（P< 0.05）,但重度疼痛患者中,时间主效应显著（P< 0.05）,分组主效应不显著（P>0.05）,且两者之间无交互作用（P>0.05）;试验组疼痛对身体的影响低于对照组,疼痛控制教育满意度和控制方法满意度优于对照组（P< 0.05）。结论 实施TACE患者疼痛管理标准流程能够缓解轻度和中度疼痛患者的疼痛症状,改善患者的疼痛结局,提高患者的满意度。

关键词: 标准作业程序, 肝动脉化疗栓塞, 多学科团队, 疼痛管理