摘要
目的观察开胸术患者应用疼痛规范护理对术后疼痛控制、机体恢复及并发症的影响。方法选择我院2017年7月至2018年7月心胸外科收治的120例开胸手术患者作为研究对象,按不同护理方案将其分为对照组和观察组,每组60例。对照组术后施予常规护理,观察组在术后常规护理基础上施予疼痛规范护理。比较两组的护理效果。结果两组患者术后24、48、72h的VAS评分均低于术后12h,且观察组患者术后12、24、48、72h的VAS评分均低于对照组(P<0.05);护理后,两组患者HR、RR及MAP均较护理前明显改善,且观察组均优于对照组(P<0.05);观察组术后并发症总发生率低于对照组(P<0.05)。结论疼痛规范护理能有效减轻开胸术患者术后疼痛,促进生命体征稳定,降低并发症发生率,效果良好。
Objective To observe the effect of standardized pain nursing on pain control,body recovery and complications in patients with thoracotomy.Methods A total of 120 patients who underwent thoracotomy in our hospital from July 2017 to July 2018 were selected as the research objects and divided into control group and observation group according to different nursing schemes,with 60 cases in each group.The control group received routine nursing after operation,while the observation group received standardized pain nursing on the basis of routine nursing after operation.The nursing effects between the two groups were compared.Results The VAS scores at 24,48 and 72 hours after operation in the two groups were lower than those at 12 hours after operation,and the VAS scores of the observation group at 12,24,48 and 72 hours after operation were lower than those of the control group(P<0.05);after nursing,HR,RR and MAP in the two groups improved than those before nursing,and those in the observation group were better than the control group(P<0.05);the total incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).Conclusion The standardized pain nursing can effectively relieve pain in patients with thoracotomy,promote the stability of vital signs,reduce the incidence of complications,with good effect.
作者
张荣
李小飞
姜涛
乔卫茹
孙冰
孙兴华
鲁园园
高杨
ZHANG Rong;LI Xiao-fei;JIANG Tao;QIAO Wei-ru;SUN Bing;SUN Xing-hua;LU Yuan-yuan;GAO Yang(Five Wards of Thoracic Surgery Department,Tangdu Hospital,Xi'an 710038,China)
出处
《临床医学研究与实践》
2019年第22期181-183,共3页
Clinical Research and Practice
