摘要
目的观察止痛泵在普外科术后疼痛护理中的应用效果。方法 190例进行普外科手术的患者,随机分为观察组与对照组,每组95例。观察组患者术后给予止痛泵止痛,对照组患者术后给予常规镇痛,观察比较两组患者疼痛程度、首次肛门排气时间、首次下床时间和不良反应发生情况。结果术后2 h,两组患者疼痛视觉模拟评分法(VAS)评分比较差异无统计学意义(P>0.05)。术后24、48 h,观察组患者疼痛VAS评分分别为(2.49±0.63)、(1.14±0.43)分,对照组患者疼痛VAS评分分别为(3.33±0.24)、(2.98±0.27)分,与术后2 h相比,两组患者术后24、48 h疼痛VAS评分均显著下降(P<0.05)。观察组患者疼痛VAS评分下降程度显著优于对照组(P<0.05)。两组患者呕吐、皮肤症状及头晕等不良反应情况比较差异无统计学意义(P>0.05)。观察组患者首次下床时间为(32.0±7.3)h,首次肛门排气时间为(42.8±6.5)h;对照组患者首次下床时间为(44.0±8.4)h,首次肛门排气时间为(51.6±7.1)h,观察组患者首次下床时间、首次肛门排气时间明显短于对照组(P<0.05)。结论与常规镇痛相比,普外科术后应用止痛泵进行疼痛护理能够显著减轻患者疼痛,缩短恢复时间,在普外科术后护理及治疗中具有极为重要的应用意义。
Objective To observe application effect by analgesia pump in pain nursing after general surgical operation. Methods A total of 190 patients in general surgical operation were randomly divided into observation group and control group, with 95 cases in each group. The observation group received postoperative analgesia pump, and the observation group received conventional analgesia. Observation and comparison were made on pain degree, first anal exhaust time, first off-bed time and adverse reaction status between the two groups.Results In postoperative 2 h, there was no statistically significant difference of visual analogue scale (VAS) scoresbetween the two groups (P>0.05). In postoperative 24 and 48 h, the observation group had VAS scores respectivelyas (2.49±0.63) and (1.14±0.43) points, and the control group had VAS scores respectively as (3.33±0.24) and(2.98±0.27) points. Comparing with scores in postoperative 2 h, both groups had obviously lower VAS scores inpostoperative 24 and 48 h (P<0.05). The observation group had much better decline degree of VAS score than thecontrol group (P<0.05). There was no statistically significant difference of emesis, skin symptom and dizziness asadverse reactions (P>0.05). The observation group had first off-bed time as (32.0±7.3) h and first anus exhausttime as (42.8±6.5) h. The control group had first off-bed time as (44.0±8.4) h and first anus exhaust time as(51.6±7.1) h. The observation group had obviously shorter first off-bed time and first anus exhaust time than the control group (P<0.05). Conclusion Comparing with conventional analgesia, implement of analgesia pump after general surgical operation can remarkably relieve pain in patients and shorten their rehabilitation time.This method contains important application significance in nursing and treatment after general surgical operation.
作者
娄夏芳
赖春荣
侯晓燕
招敏华
LOU Xia-fang;LAI Chun-rong;HOU Xiao-yan(Shenzhen City Longhua New District People’s Hospital, Shenzhen 518000, China)
出处
《中国现代药物应用》
2017年第3期150-152,共3页
Chinese Journal of Modern Drug Application
关键词
止痛泵
普外科手术
疼痛护理
Analgesia pump
General surgical operation
Pain nursing
