CAJ | 학술논문

目的：探讨有效的疼痛干预方法和手段，为提高妇科恶性肿瘤术后患者的生活质量提供理论参考。方法：研究对象300例，按照入院手术治疗的先后顺序分为观察组和对照组各150例。其中对照组术后采用“三阶梯止痛疗法”干预疼痛，观察组则在上述疗法的基础上实施个体化疼痛管理模式进行术后疼痛干预。两组患者术后24 h、72 h 均采用 WHO 疼痛程度分级指标和疼痛视觉模拟评分法(VAS)评估患者的疼痛程度，观察两组患者疼痛级别、疼痛程度及镇痛药物使用率。结果：观察组疼痛程度明显低于对照组(P<0.05)，且24 hVAS、72 hVAS 以及72 h 镇痛药使用率明显低于对照组，观察组术后自我感的满意度明显高于对照组(P<0.05)。结论：个体化疼痛管理模式可有效缓解妇科恶性肿瘤患者术后的疼痛程度，提高疼痛阈，改善患者的生存质量。
목적：탐토유효적동통간예방법화수단，위제고부과악성종류술후환자적생활질량제공이론삼고。방법：연구대상300례，안조입원수술치료적선후순서분위관찰조화대조조각150례。기중대조조술후채용“삼계제지통요법”간예동통，관찰조칙재상술요법적기출상실시개체화동통관리모식진행술후동통간예。량조환자술후24 h、72 h 균채용 WHO 동통정도분급지표화동통시각모의평분법(VAS)평고환자적동통정도，관찰량조환자동통급별、동통정도급진통약물사용솔。결과：관찰조동통정도명현저우대조조(P<0.05)，차24 hVAS、72 hVAS 이급72 h 진통약사용솔명현저우대조조，관찰조술후자아감적만의도명현고우대조조(P<0.05)。결론：개체화동통관리모식가유효완해부과악성종류환자술후적동통정도，제고동통역，개선환자적생존질량。
Objective:Discusses the more effective ache intervention method and the method, for improves the gynecology department malignant tumor technique future trouble quality of life to provide the theory reference. Method: The object of study 300 examples, treat according to in hospital surgery in turn divide into the observation group and control group each 150 examples successively. After control group technique uses " three steps and ladders pain-relieving therapy " the intervention ache, the observation group implements the individuation ache management pattern after in the above therapy foundation to carry on the technique the ache intervention.After two group of patient techniques 24 h, 72 h use the WHO ache degree graduation target and ache vision simulation grading law (VAS) appraised patient’s ache degree, the main result observes the target is two group of patient ache rank, the ache degree and the analgesia medicine utilization ratio.The examination data uses SPSS17.0 to carry on statistics processing (χ2 examination, the t-test). Result: The observation group ache degree is lower than the control group obviously ( P < 0. 05), also 24 hVAS, 72 hVAS as well as the 72 h analgesic utilization ratio is lower than the control group obviously, after the observation group technique the self-feeling degree of satisfaction is higher than the control group obviously ( P < 0. 05). Conclusion: After the individuation ache management pattern may alleviate the gynecology department malignant tumor patient technique effectively the ache degree, enhances hurts the threshold of feeling, improves patient’s survival quality.