摘要
目的观察适时镇痛与定时镇痛对上腹部术后患者疼痛的效果。方法将124例上腹部手术患者按随机数字表分为A组和B组各62例,A组以患者主诉、需求为依据适时予镇痛剂,B组按医嘱定时予镇痛剂。镇痛期间每4h采用视觉模拟评分法评价疼痛程度,并对两组术后下床活动时间、肠功能恢复时间、肺部感染、住院时间、成瘾性等进行比较。结果术后8～48h,两组疼痛程度比较,差异有统计学意义;B组下床活动时间、肠功能恢复时间早,住院时间短,未出现肺部感染及成瘾患者。结论对上腹部手术患者术后疼痛实施定时镇痛优于适时镇痛。
ObjectiveTo observe the effect of necessary analgesia and regular analgesia on pain for patients undergoing upper abdominal surgery.MethodDivide 124 patients undergoing upper abdominal surgery into group A and group B equally according to the random word table.Patients in group A receive analgesics based on their chief complaint and demand.Patients in group B receive regular analgesics based on medical orders.Assess the analgesia effect by Visual Analogue Scales（VAS） every 4h during the procedure.Compare the time of activities after operation,intestinal function restoration time,lung infection,length of hospital-stay and addiction between two groups.ResultThere is significant difference on patient pain level between two groups 8~48 hours after operation.Time of activities after operation,intestinal function restoration and hospital-stay is shorter in group B.There is no lung infection and addiction in group B.ConclusionRegular analgesia is better for patients undergoing upper abdominal surgery than necessary analgesia.
出处
《护理与康复》
2012年第4期305-306,共2页
Journal of Nursing and Rehabilitation
关键词
手术
镇痛
效果
Surgery
Analgesia
Effect
