中华临床营养杂志
中華臨床營養雜誌
중화림상영양잡지
CHINESE JOURNAL OF CLINICAL NUTRITION
2014年
5期
281-284
,共4页
刘鹏%李磊%金向辉%付申凌%门吉芳%崔红元%朱明炜
劉鵬%李磊%金嚮輝%付申凌%門吉芳%崔紅元%硃明煒
류붕%리뢰%금향휘%부신릉%문길방%최홍원%주명위
外科手术%胃管%尿管%痛苦程度
外科手術%胃管%尿管%痛苦程度
외과수술%위관%뇨관%통고정도
Surgery%Nasogastric tube%Urinary catheter%Pain degree
目的 调查腹部术后各类治疗导管对患者引起的痛苦程度.方法 采用前瞻性研究设计,符合入选标准的患者进入本研究;记录一般资料,进行营养风险筛查;记录外科治疗需要留置的尿管、胃管、腹腔引流管、胆总管引流管、伤口引流管、中心静脉导管和经外周静脉置入中心静脉导管等,使用视觉模拟评分法,记录患者在置管后24、48和72 h的读数,评价不同导管对患者带来的痛苦程度.结果 共157例患者进入本研究,其中男性70例、女性87例;年龄(60.5±12.5)岁;体质量指数(23.8±3.2) kg/m2;总营养风险发生率为42.0％;根据视觉模拟尺读数,患者主观感觉痛苦程度依次为:胃管(4.9±1.7)、伤口引流管(3.6±0.9)、尿管(3.0±0.9)、中心静脉导管(2.6±0.9)、腹腔引流管(2.4±1.0)、胆总管引流管(1.9±0.7)和经外周静脉置入中心静脉导管(1.8±0.8);患者认为导管给其本次住院带来的痛苦占(44.9±14.1)％.结论 胃管、伤口引流管和尿管可增加患者痛苦,在不影响治疗前提下,及时拔除导管,有利于患者康复.
目的 調查腹部術後各類治療導管對患者引起的痛苦程度.方法 採用前瞻性研究設計,符閤入選標準的患者進入本研究;記錄一般資料,進行營養風險篩查;記錄外科治療需要留置的尿管、胃管、腹腔引流管、膽總管引流管、傷口引流管、中心靜脈導管和經外週靜脈置入中心靜脈導管等,使用視覺模擬評分法,記錄患者在置管後24、48和72 h的讀數,評價不同導管對患者帶來的痛苦程度.結果 共157例患者進入本研究,其中男性70例、女性87例;年齡(60.5±12.5)歲;體質量指數(23.8±3.2) kg/m2;總營養風險髮生率為42.0％;根據視覺模擬呎讀數,患者主觀感覺痛苦程度依次為:胃管(4.9±1.7)、傷口引流管(3.6±0.9)、尿管(3.0±0.9)、中心靜脈導管(2.6±0.9)、腹腔引流管(2.4±1.0)、膽總管引流管(1.9±0.7)和經外週靜脈置入中心靜脈導管(1.8±0.8);患者認為導管給其本次住院帶來的痛苦佔(44.9±14.1)％.結論 胃管、傷口引流管和尿管可增加患者痛苦,在不影響治療前提下,及時拔除導管,有利于患者康複.
목적 조사복부술후각류치료도관대환자인기적통고정도.방법 채용전첨성연구설계,부합입선표준적환자진입본연구;기록일반자료,진행영양풍험사사;기록외과치료수요류치적뇨관、위관、복강인류관、담총관인류관、상구인류관、중심정맥도관화경외주정맥치입중심정맥도관등,사용시각모의평분법,기록환자재치관후24、48화72 h적독수,평개불동도관대환자대래적통고정도.결과 공157례환자진입본연구,기중남성70례、녀성87례;년령(60.5±12.5)세;체질량지수(23.8±3.2) kg/m2;총영양풍험발생솔위42.0％;근거시각모의척독수,환자주관감각통고정도의차위:위관(4.9±1.7)、상구인류관(3.6±0.9)、뇨관(3.0±0.9)、중심정맥도관(2.6±0.9)、복강인류관(2.4±1.0)、담총관인류관(1.9±0.7)화경외주정맥치입중심정맥도관(1.8±0.8);환자인위도관급기본차주원대래적통고점(44.9±14.1)％.결론 위관、상구인류관화뇨관가증가환자통고,재불영향치료전제하,급시발제도관,유리우환자강복.
Objective To evaluate the postoperative pain induced by various therapeutic catheters after abdominal surgery.Methods A prospective study was conducted in patients selected based on the inclusion criteria.The general condition of the patients was recorded,and nutritional risk screening was performed.The indwelling of therapeutic catheters after abdominal surgery were recorded,including urinary catheter,nasogastric tube,peritoneal drainage tube,common bile duct drainage tube,wound drainage tube,central venous catheter and peripherally inserted central catheter.The pain caused by each type of catheters was evaluated using visual analog scale at 24,48 and 72 hours after tube/catheter insertion.Results A total of 157 patients were selected,including 70 males and 87 females,aged (60.5 ± 12.5) years,with a body mass index of (23.8 ± 3.2) kg/m2,and a total nutritional risk rate of 42％.According to visual analog scale scores,the degrees of pain due to the therapeutic catheters,in descending order,were as follows:4.9 ± 1.7 for nasogastric tube,3.6 ± 0.9 for wound drainage tube,3.0 ±0.9 for urinary catheter,2.6 ±0.9 for central venous catheter,2.4 ± 1.0 for peritoneal drainage tube,1.9 ± 0.7 for common bile duct drainage tube,and 1.8 ± 0.8 for peripherally inserted central catheter.The catheter-induced pain accounted for (44.9 ± 14.1)％ of the total pain during the hospital stay.Conclusions Nasogastric tube,wound drainage tube and urinary catheter can increase the pain of patients.It is therefore recommended to remove the indwelling tubes as early as possible if only the removal does not harm the outcome of the patient.
