摘要
目的探讨NBAS—APS模式对缓解扁桃体切除术后成人患者疼痛的影响。方法选取2013年3月～2014年9月住无锡市第四人民医院耳鼻咽喉一头颈外科在局麻下行双侧扁桃体切除的成人患者61例，随机分为实验组和对照组。对照组患者给予常规术后护理，实验组患者除给予常规术后护理外。应用NBAS—APS模式进行术后疼痛管理，比较两组患者术后镇痛效果、首次进食的时间、术日当晚睡眠时间、术后住院天数以及并发症发生率。结果扁桃体术后即刻、1h、3h、6h、12h、24h的镇痛效果方面，静息和吞咽状态下，实验组镇痛效果均明显优于对照组，差异具有统计学意义（P〈0．05）；实验组术后首次进食时间早于对照组，差异具有统计学意义（P〈0．05）；实验组术日当晚睡眠时间多于对照组，差异具有统计学意义（P〈0．05）；术后住院天数及并发症发生率比较差异无统计学意义（P〉0．05）。结论NBAS—APS模式能够有效缓解患者扁桃体术后疼痛，有助于提早进食，增加术日当晚睡眠时间，改善睡眠质量，提高舒适度，增加患者满意度。
Objective To discuss the effect of the NBAS-APS model in the pain release of adult patients after tonsillectomy. Methods A total of 61 adult patients after tonsillectomy were randomly assigned to two groups（n=31 in control group, n=30 in experimental group. The control group received routine postoperative care, whereas experimental group received routine postoperative care and NBAS-APS model on postoperative pain management. Post-tonsillectomy pain, the sleep time, postoperative hospitalization days and the complication rates were compared between the groups. ResuLts Postoperative pain was recorded on operation day 0, 1, 3, 6, 12 and 24 hours. Post-tonsillectomy pain on 1 to 24 hours were significantly lower in experimental group. The sleep time was longer in the control group. The postoperative hospitalization days and the complication rates did not differ significantly between the groups（P〉0.05）. Conclusion The NBAS-APS model can reduce the pain effectively after tonsillectomy in adult patients, help to eat early and increase the sleep time.
出处
《中国现代医生》
2015年第31期142-145,共4页
China Modern Doctor
