现代临床护理
現代臨床護理
현대림상호리
MODERN CLINICAL NURSING
2013年
11期
45-48
,共4页
腹腔镜手术%肩痛%热敷%氧气吸入疗法
腹腔鏡手術%肩痛%熱敷%氧氣吸入療法
복강경수술%견통%열부%양기흡입요법
laparoscopy%shoulder pain%hot compress%oxygen inhalation therapy
目的探讨3种方法治疗妇科腹腔镜术后肩痛患者的效果。方法将180例妇科腹腔镜术后患者随机分为3组,分别采取肩部热敷(热敷组57例)、氧气吸入治疗(氧疗组65例)和常规护理(对照组58例)。3组患者在手术后马上给予3 h氧气吸入,对照组给予心理护理、安慰支持、按摩等常规护理,热敷组与氧疗组在术后第1 d上午8:00(首次干预)及下午16:00(第2次干预),分别给予肩部热水袋热敷(每次30 min)和鼻导管氧气吸入(流量2 L/min,每次2 h)。比较3组患者术后第1 d不同时段(8:00、16:00、20:00)肩痛评分,热敷组与氧疗组不同时段干预前后肩痛评分情况。结果干预后热敷组和氧疗组在同一时段的肩痛评分均低于对照组,组间比较,差异具有统计学意义(均P<0?05),但两组同一时段肩痛评分比较,差异无统计学意义(P>0?05);热敷组与氧疗组干预前后肩部视觉模拟评分(vision analogue score,VAS)评分组间比较,差异具有统计学意义(均P<0?001),干预后评分明显低于干预前。结论术后热敷、氧疗均能有效改善妇科腹腔镜术后患者肩痛情况,但两者的治疗效果没有明显差异,临床可以根据患者经济条件、术后恢复情况选择适宜的方法。
目的探討3種方法治療婦科腹腔鏡術後肩痛患者的效果。方法將180例婦科腹腔鏡術後患者隨機分為3組,分彆採取肩部熱敷(熱敷組57例)、氧氣吸入治療(氧療組65例)和常規護理(對照組58例)。3組患者在手術後馬上給予3 h氧氣吸入,對照組給予心理護理、安慰支持、按摩等常規護理,熱敷組與氧療組在術後第1 d上午8:00(首次榦預)及下午16:00(第2次榦預),分彆給予肩部熱水袋熱敷(每次30 min)和鼻導管氧氣吸入(流量2 L/min,每次2 h)。比較3組患者術後第1 d不同時段(8:00、16:00、20:00)肩痛評分,熱敷組與氧療組不同時段榦預前後肩痛評分情況。結果榦預後熱敷組和氧療組在同一時段的肩痛評分均低于對照組,組間比較,差異具有統計學意義(均P<0?05),但兩組同一時段肩痛評分比較,差異無統計學意義(P>0?05);熱敷組與氧療組榦預前後肩部視覺模擬評分(vision analogue score,VAS)評分組間比較,差異具有統計學意義(均P<0?001),榦預後評分明顯低于榦預前。結論術後熱敷、氧療均能有效改善婦科腹腔鏡術後患者肩痛情況,但兩者的治療效果沒有明顯差異,臨床可以根據患者經濟條件、術後恢複情況選擇適宜的方法。
목적탐토3충방법치료부과복강경술후견통환자적효과。방법장180례부과복강경술후환자수궤분위3조,분별채취견부열부(열부조57례)、양기흡입치료(양료조65례)화상규호리(대조조58례)。3조환자재수술후마상급여3 h양기흡입,대조조급여심리호리、안위지지、안마등상규호리,열부조여양료조재술후제1 d상오8:00(수차간예)급하오16:00(제2차간예),분별급여견부열수대열부(매차30 min)화비도관양기흡입(류량2 L/min,매차2 h)。비교3조환자술후제1 d불동시단(8:00、16:00、20:00)견통평분,열부조여양료조불동시단간예전후견통평분정황。결과간예후열부조화양료조재동일시단적견통평분균저우대조조,조간비교,차이구유통계학의의(균P<0?05),단량조동일시단견통평분비교,차이무통계학의의(P>0?05);열부조여양료조간예전후견부시각모의평분(vision analogue score,VAS)평분조간비교,차이구유통계학의의(균P<0?001),간예후평분명현저우간예전。결론술후열부、양료균능유효개선부과복강경술후환자견통정황,단량자적치료효과몰유명현차이,림상가이근거환자경제조건、술후회복정황선택괄의적방법。
Objective To study the effects of three therapies on shoulder pains after gynecological laparoscopies.Methods After the gynecological laparoscopies,180 patients were randomly assigned to hot compress group(n=57),oxygen therapy group (n=65)and routine care group as control group(n=58).All the patients in the three groups were given oxygen inhalation for three hours.Besides,those controls were given mental care,comfort support and massage,while those in the two experiment groups were managed with hot compress on the shoulder and oxygen inhalation via nasal tube at 2 L/min each for 2 hours at 8 am and 4 pm on the first day.The three groups were compared in terms of shoulder pains,at different time points on the first day(at 8 am,4 pm and 8 pm). Results After intervention,there were significant differences between the three groups in terms of shoulder pains(P<0?05).In both experiment groups,the scores on the shoulder pains after intervention were significantly lower than those before intervention(P<0?001). Conclusions Hot compress and oxygen treatment are both effective in relief of the shoulder pain after gynecological laparoscopy. Therefore,the therapy can be decided on economic conditions and postoperative rehabilitations.