中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
25期
115-118
,共4页
叶曼%方莹%饶海英%李晓璐
葉曼%方瑩%饒海英%李曉璐
협만%방형%요해영%리효로
疼痛护理干预%小儿%漏斗胸%Nuss术
疼痛護理榦預%小兒%漏鬥胸%Nuss術
동통호리간예%소인%루두흉%Nuss술
Pain nursing intervention%Children%Funnel chest%Nuss
目的：探讨疼痛护理在小儿漏斗胸Nuss术后的应用效果。方法分析2011年1月~2013年8月温州医科大学附属第二医院收治的小儿漏斗胸实施Nuss术69例病例临床资料,依据是否实施疼痛护理进行分组,对照组(未进行疼痛护理组)33例和观察组(疼痛护理组)36例。观察两组患儿术后3 d呼叫疼痛、哭闹、躯体僵硬、有效咳嗽、下床活动人数情况。结果观察组术后第1天呼叫疼痛次数、哭闹人数显著低于对照组,差异均有统计学意义(t=2.15,字2=4.01,均P<0.05),观察组术后第2、3天,疼痛评分、呼叫疼痛次数、呼叫疼痛人数、哭闹及躯体僵硬人数均低于对照组,差异均有统计学意义(第2天院t =3.05、2.55,字2=5.01、4.48、4.21；第3天院t=2.77、6.45,字2=5.52、6.01、4.41,均P<0.05),有效咳嗽及下床活动人数均高于对照组,差异均有统计学意义(第2天院字2=4.32、6.64；第3天院字2=6.78、5.89,均P<0.05)。结论疼痛护理干预在小儿漏斗胸Nuss术后疼痛各阶段,均可辅助缓解疼痛,值得临床推广应用。
目的：探討疼痛護理在小兒漏鬥胸Nuss術後的應用效果。方法分析2011年1月~2013年8月溫州醫科大學附屬第二醫院收治的小兒漏鬥胸實施Nuss術69例病例臨床資料,依據是否實施疼痛護理進行分組,對照組(未進行疼痛護理組)33例和觀察組(疼痛護理組)36例。觀察兩組患兒術後3 d呼叫疼痛、哭鬧、軀體僵硬、有效咳嗽、下床活動人數情況。結果觀察組術後第1天呼叫疼痛次數、哭鬧人數顯著低于對照組,差異均有統計學意義(t=2.15,字2=4.01,均P<0.05),觀察組術後第2、3天,疼痛評分、呼叫疼痛次數、呼叫疼痛人數、哭鬧及軀體僵硬人數均低于對照組,差異均有統計學意義(第2天院t =3.05、2.55,字2=5.01、4.48、4.21；第3天院t=2.77、6.45,字2=5.52、6.01、4.41,均P<0.05),有效咳嗽及下床活動人數均高于對照組,差異均有統計學意義(第2天院字2=4.32、6.64；第3天院字2=6.78、5.89,均P<0.05)。結論疼痛護理榦預在小兒漏鬥胸Nuss術後疼痛各階段,均可輔助緩解疼痛,值得臨床推廣應用。
목적：탐토동통호리재소인루두흉Nuss술후적응용효과。방법분석2011년1월~2013년8월온주의과대학부속제이의원수치적소인루두흉실시Nuss술69례병례림상자료,의거시부실시동통호리진행분조,대조조(미진행동통호리조)33례화관찰조(동통호리조)36례。관찰량조환인술후3 d호규동통、곡료、구체강경、유효해수、하상활동인수정황。결과관찰조술후제1천호규동통차수、곡료인수현저저우대조조,차이균유통계학의의(t=2.15,자2=4.01,균P<0.05),관찰조술후제2、3천,동통평분、호규동통차수、호규동통인수、곡료급구체강경인수균저우대조조,차이균유통계학의의(제2천원t =3.05、2.55,자2=5.01、4.48、4.21；제3천원t=2.77、6.45,자2=5.52、6.01、4.41,균P<0.05),유효해수급하상활동인수균고우대조조,차이균유통계학의의(제2천원자2=4.32、6.64；제3천원자2=6.78、5.89,균P<0.05)。결론동통호리간예재소인루두흉Nuss술후동통각계단,균가보조완해동통,치득림상추엄응용。
Objective To explore the application of pain nursing intervention in children with funnel chest Nuss. Methods Clinical data of 69 children with funnel chest Nuss form January 2011 to August 2013 in the Second Affili-ated Hospital of Wenzhou Medical University were analyzed, which were divided into two groups of control group (no pain nursing care group) for 33 cases and detection group (pain nursing care group) for 36 cases. Postoperative 3 days calling pain, crying, the body stiffness, effective number of cough, ambulation of two groups were observed. Results The times of calling pain, crying number after operation 1 day of detection group were lower than control group (t = 2.15,χ2=4.01, all P< 0.05), pain score, times of calling pain, number of people who calling pain, crying and body stiffness after operation 2-3 days of detection group were lower than control group, the differences were significantly different (the second day:t= 3.05, 2.55,χ2=5.01, 4.48, 4.21; the third day: t = 2.77, 6.45,χ2=5.52, 6.01, 4.41, all P< 0.05), effec-tive cough and number of bed activities of detection group were higher than control group, the differences were signifi-cantly different (the second day:χ2=4.32, 6.64;the third day:χ2=6.78, 5.89, all P<0.05). Conclusion The pain nursing in-tervention is used in different stages of the pain of children with funnel chest Nuss, which is auxiliary eased pain, and worthy of clinical application.
