CAJ | 학술논문

　　目的探讨护理干预对接受腰硬联合麻醉的老年患者操作性疼痛及血压、心率的影响。方法将我院2011年1月~2012年12月接受腰硬联合麻醉的老年患者160例，随机将其分为常规组（C组）和干预组（I组），每组80例。常规组给予常规护理，干预组则在常规护理基础上实施心理、行为及健康教育等护理干预。采用口述疼痛分级评分法评估疼痛，比较两组操作时、操作后疼痛程度，并记录两组患者的麻醉操作时血压、心率的变化。结果干预组患者操作时、操作后VAS疼痛评分及血压均明显低于常规组，差异有统计学意义（P＜0.05）。结论针对性护理干预可减轻腰硬联合麻醉操作性疼痛，并可减轻老年患者的心血管反应。
　　목적탐토호리간예대접수요경연합마취적노년환자조작성동통급혈압、심솔적영향。방법장아원2011년1월~2012년12월접수요경연합마취적노년환자160례，수궤장기분위상규조（C조）화간예조（I조），매조80례。상규조급여상규호리，간예조칙재상규호리기출상실시심리、행위급건강교육등호리간예。채용구술동통분급평분법평고동통，비교량조조작시、조작후동통정도，병기록량조환자적마취조작시혈압、심솔적변화。결과간예조환자조작시、조작후VAS동통평분급혈압균명현저우상규조，차이유통계학의의（P＜0.05）。결론침대성호리간예가감경요경연합마취조작성동통，병가감경노년환자적심혈관반응。
Objective To explore the effect of nursing interventions on operative pains and cardiovascular effects of elderly patient with combined spinal-epidural anesthesia. Methods The control group received conventional preoperative and and postoperative nursing. The intervention group received additional nursing intervention. Postoperative pains of the two groups were observed, blood pressure and heart rate were recorded. Results Compared with the control group,the intervention group had significantly lower pain scores and blood pressure (P < 0.05). Conclusion The application of nursing intervention can significantly reduce the operative pains of patients with combined spinal-epidural anesthesia, and it is worthy of extenuation cardiovascular effects of elderly patient.