CAJ | 학술논문

目的研究肝癌患者围手术期规范化疼痛管理对患者疼痛控制与术后恢复的影响。方法将60例行肝癌手术的患者随机分为对照组和观察组。观察组患者予以规范化疼痛管理，对照组实施传统的疼痛管理。比较两组患者术后下床活动时间、肠道通气时间、夜间平均睡眠时长、术后住院天数、疼痛控制满意度和术后并发症发生率的差异。结果观察组术后下床活动时间、肠道通气时间和住院天数分别为2.8±0.4天、1.8±0.3天和6.00±0.9天，均显著低于对照组（分别为3.0±0.8天、3.9±0.6天和7.9±0.8天，P＜0.05）；观察组夜间平均睡眠时长为7.50±0.8小时，优于对照组（5.8±0.7小时，P＜0.05﹚；观察组疼痛控制满意度为93.75%，显著高于对照组的64.29%（P＜0.05）；观察组和对照组术后并发症的发生率为2.3%和2.1%，差别无统计学意义。结论规范化疼痛管理可以改善原发性肝癌患者术后疼痛，促进患者康复。
목적연구간암환자위수술기규범화동통관리대환자동통공제여술후회복적영향。방법장60례행간암수술적환자수궤분위대조조화관찰조。관찰조환자여이규범화동통관리，대조조실시전통적동통관리。비교량조환자술후하상활동시간、장도통기시간、야간평균수면시장、술후주원천수、동통공제만의도화술후병발증발생솔적차이。결과관찰조술후하상활동시간、장도통기시간화주원천수분별위2.8±0.4천、1.8±0.3천화6.00±0.9천，균현저저우대조조（분별위3.0±0.8천、3.9±0.6천화7.9±0.8천，P＜0.05）；관찰조야간평균수면시장위7.50±0.8소시，우우대조조（5.8±0.7소시，P＜0.05﹚；관찰조동통공제만의도위93.75%，현저고우대조조적64.29%（P＜0.05）；관찰조화대조조술후병발증적발생솔위2.3%화2.1%，차별무통계학의의。결론규범화동통관리가이개선원발성간암환자술후동통，촉진환자강복。
Objective To investigate the effects of standardized pain management on pain relive and post-operative recovery for patients with hepatocellular carcinoma after hepatectomy. Methods Sixty patients with HCC underwent hepatectomy were randomly divided into control group and observation group. The patients in observa-tion group underwent standardized pain management and those in control group were subjected to traditional pain management. Time for out-of-bed activity,gas evacuation,postoperative hospital stay,average nighttime sleep,satis-faction in pain-control and early postoperative complication rates were observed. Results The time out-of-bed activity,gas evacuation and postoperative hospital stay in observation group were 2.8±0.4d,3.9±0.6d and 6.00±0.9d, respectively,which were significantly shorter than those in the control group (3.0±0.8d,2.8±0.4d,3.9±0.6d,respec-tively,P<0.05);Average nighttime sleep in observation group was 7.50±0.8h,which was significantly longer than that in control group(5.8±0.7h);Pain-control satisfaction in observation group was 93.75%,significantly higher than that in control group(64.29%);Postoperative complication occurrence did not differ between the two groups. Con-clusion Standardized pain management for postoperative patients with HCC can significantly release pain and promote patient recovery.