CAJ | 학술논문

目的观察早期介入规范化疼痛管理在肛门疾病术后中的应用效果.方法将350例肛门手术后患者随机分为观察组178例和对照组172例,观察组术后给予术后常规护理的同时即进行规范化疼痛管理,采用“长海痛尺”评分表进行术后疼痛的评估,测得分值在3～4分时及时进行有效镇痛治疗.对照组采用传统镇痛方法,即在患者感觉伤口疼痛明显,测得分值≥6分时才给予镇痛治疗.观察两组患者的镇痛效果及满意度.结果观察组的疼痛评分、镇痛效果、对镇痛效果满意度均明显优于对照组(P＜0.05)；平均住院天数少于对照组,睡眠满意度大于对照组(P＜0.01),差异有统计学意义.结论早期实施规范化疼痛管理,能有效缓解肛门疾病术后伤口疼痛,提高患者满意度,促进康复,缩短住院天数.
목적 관찰조기개입규범화동통관리재항문질병술후중적응용효과.방법 장350례항문수술후환자수궤분위관찰조178례화대조조172례,관찰조술후급여술후상규호리적동시즉진행규범화동통관리,채용“장해통척”평분표진행술후동통적평고,측득분치재3～4분시급시진행유효진통치료.대조조채용전통진통방법,즉재환자감각상구동통명현,측득분치≥6분시재급여진통치료.관찰량조환자적진통효과급만의도.결과 관찰조적동통평분、진통효과、대진통효과만의도균명현우우대조조(P＜0.05)；평균주원천수소우대조조,수면만의도대우대조조(P＜0.01),차이유통계학의의.결론 조기실시규범화동통관리,능유효완해항문질병술후상구동통,제고환자만의도,촉진강복,축단주원천수.
Objective To observe the effect of postoperative pain management on the patients with anal disease.Methods The 350 cases of anal surgery patients were randomly divided into the observation group ( n =178 ) and the control group ( n =172).The observation group was given a normal postoperative care and a standardized pain management by using " Changhai pain ruler" score table to evaluate the degree of postoperative pain.If the scores were more than 3,a pain treatment would be applied.An routine analgesic treatment was adopted in the control group when the pain in the wound was obvious with a measured score≥6.Analgesic effects and satisfaction were observed and compared in two groups patients.Results Pain scores,analgesic effect,the satisfaction with analgesic effect in the observation group were significantly better than those in the control group ( P ＜ 0.05 ) ; the average hospitalization days in observation group was less than that in the control group,and satisfaction with the sleep was higber than that in the control group (P ＜0.01),the difference was statistically significant.Conclusions Early standardized pain management can effectively relieve anal postoperative wound pain,increase patients'satisfaction,promote rehabilitation and shorten hospital stay.