河北医学
河北醫學
하북의학
HEBEI MEDICINE
2015年
11期
1900-1902,1903
,共4页
护理干预%食管癌根治术%围手术期%疼痛%胃食管反流
護理榦預%食管癌根治術%圍手術期%疼痛%胃食管反流
호리간예%식관암근치술%위수술기%동통%위식관반류
Nursing intervention%Radical correction for esophageal cancer%Perioperative period%Pain%Gastroesophageal reflux
目的：探讨护理干预对食管癌患者术后疼痛及胃食管反流的影响，促进患者康复。方法：2012年10月至2014年10月选择符合标准的食管癌根治术患者60例，随机分为观察组和对照组各30例，两组患者均给予食管癌围手术期常规护理，观察组加用护理干预，观察两组患者术后疼痛及胃食管反流症状。结果：观察组患者术后6h、24h、48h及72h疼痛VAS评分均低于对照组，差异有统计学意义（P＜0．05）。观察组患者术后72h间歇性应用止痛药物（5．87±0．32）次，少于对照组的（11．25±0．63）次，差异有统计学意义（ P＜0．05）。观察组患者胃烧灼感、反酸和上腹部饱胀症状严重程度及发作次数评分均低于对照组，差异有统计学意义（ P＜0．05）。结论：护理干预应用于食管癌根治术中，可以有效减轻患者术后疼痛、预防胃食管反流的发生。
目的：探討護理榦預對食管癌患者術後疼痛及胃食管反流的影響，促進患者康複。方法：2012年10月至2014年10月選擇符閤標準的食管癌根治術患者60例，隨機分為觀察組和對照組各30例，兩組患者均給予食管癌圍手術期常規護理，觀察組加用護理榦預，觀察兩組患者術後疼痛及胃食管反流癥狀。結果：觀察組患者術後6h、24h、48h及72h疼痛VAS評分均低于對照組，差異有統計學意義（P＜0．05）。觀察組患者術後72h間歇性應用止痛藥物（5．87±0．32）次，少于對照組的（11．25±0．63）次，差異有統計學意義（ P＜0．05）。觀察組患者胃燒灼感、反痠和上腹部飽脹癥狀嚴重程度及髮作次數評分均低于對照組，差異有統計學意義（ P＜0．05）。結論：護理榦預應用于食管癌根治術中，可以有效減輕患者術後疼痛、預防胃食管反流的髮生。
목적：탐토호리간예대식관암환자술후동통급위식관반류적영향，촉진환자강복。방법：2012년10월지2014년10월선택부합표준적식관암근치술환자60례，수궤분위관찰조화대조조각30례，량조환자균급여식관암위수술기상규호리，관찰조가용호리간예，관찰량조환자술후동통급위식관반류증상。결과：관찰조환자술후6h、24h、48h급72h동통VAS평분균저우대조조，차이유통계학의의（P＜0．05）。관찰조환자술후72h간헐성응용지통약물（5．87±0．32）차，소우대조조적（11．25±0．63）차，차이유통계학의의（ P＜0．05）。관찰조환자위소작감、반산화상복부포창증상엄중정도급발작차수평분균저우대조조，차이유통계학의의（ P＜0．05）。결론：호리간예응용우식관암근치술중，가이유효감경환자술후동통、예방위식관반류적발생。
Objective:To investigate the effects of nursing intervention on gastroesophageal reflux and early pain after a surgery for esophageal cancer , and to promote the rehabilitation of the patients .Method:A total of 60 eligible patients who underwent a radical correction for esophageal cancer between October 2012 and October 2014 were selected , and randomly divided into observation group and control group , with 30 pa-tients each group .The patients of both groups were given with perioperative usual care for esophageal cancer , while the observation group given with nursing intervention additionally , and the gastroesophageal reflux symptoms and postoperative pains in the patients of the two groups were observed .Result:The patients of theobservation group had lower visual analogue scores ( VAS) for pain at 6h, 24h, 48h, and 72h after the sur-gery than the control group, and the differences were statistically significant (P<0.05).The patients of the observation group intermittently used pain-killers for (5.87±0.32) times, which was less than the control group (11.25±0.63) times, and the difference was statistically significant (P<0.05).The patients of the ob-servation group had lower scores of incidence and severity of symptoms including pyrosis , sour regurgitation , and epigastric fullness than the control group , and the differences were statistically significant ( P<0.05). Conclusion:Nursing intervention used in radical correction for esophageal cancer can effectively ease the postoperative pain and prevent from the occurrence of gastroesophageal reflux .
