四川医学
四川醫學
사천의학
Sichuan Medical Journal
2015年
8期
1202-1204
,共3页
护理干预%食管癌根治术%围手术期%疼痛%并发症
護理榦預%食管癌根治術%圍手術期%疼痛%併髮癥
호리간예%식관암근치술%위수술기%동통%병발증
nursing intervention%radical surgery for esophageal carcinoma%perioperation%pain%complicati
目的 探讨护理干预对食管癌患者术后疼痛及并发症的影响. 方法 2012年10月至2014年10月拟行食管癌根治术的患者85例,根据入院先后顺序分为观察组42例和对照组43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、胃肠功能恢复情况及并发症. 结果 观察组患者术后6、24、48h及72h疼痛VAS评分低于对照组,差异有统计学意义(P<0. 05). 观察组患者术后72 h间歇性应用止痛药物(5. 90 ± 0. 41)次,少于对照组的(11. 34 ± 0. 67)次,差异有统计学意义(P<0. 05). 观察组患者术后肠鸣音恢复时间、首次肛门排气时间及首次肛门排便时间均早于对照组,差异有统计学意义(P<0. 05). 观察组患者术后并发症发生率16. 67%,低于对照组的34. 88%,差异有统计学意义(P<0. 05). 结论 食管癌患者围手术期实施护理干预,可以有效降低患者术后疼痛、减少镇痛药物应用量、促进胃肠功能恢复、降低并发症发生率,促进患者术后康复.
目的 探討護理榦預對食管癌患者術後疼痛及併髮癥的影響. 方法 2012年10月至2014年10月擬行食管癌根治術的患者85例,根據入院先後順序分為觀察組42例和對照組43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、胃腸功能恢複情況及併髮癥. 結果 觀察組患者術後6、24、48h及72h疼痛VAS評分低于對照組,差異有統計學意義(P<0. 05). 觀察組患者術後72 h間歇性應用止痛藥物(5. 90 ± 0. 41)次,少于對照組的(11. 34 ± 0. 67)次,差異有統計學意義(P<0. 05). 觀察組患者術後腸鳴音恢複時間、首次肛門排氣時間及首次肛門排便時間均早于對照組,差異有統計學意義(P<0. 05). 觀察組患者術後併髮癥髮生率16. 67%,低于對照組的34. 88%,差異有統計學意義(P<0. 05). 結論 食管癌患者圍手術期實施護理榦預,可以有效降低患者術後疼痛、減少鎮痛藥物應用量、促進胃腸功能恢複、降低併髮癥髮生率,促進患者術後康複.
목적 탐토호리간예대식관암환자술후동통급병발증적영향. 방법 2012년10월지2014년10월의행식관암근치술적환자85례,근거입원선후순서분위관찰조42례화대조조43례,량조환자균급여식관암위수술기상규호리,관찰조가용호리간예,관찰량조환자술후동통、위장공능회복정황급병발증. 결과 관찰조환자술후6、24、48h급72h동통VAS평분저우대조조,차이유통계학의의(P<0. 05). 관찰조환자술후72 h간헐성응용지통약물(5. 90 ± 0. 41)차,소우대조조적(11. 34 ± 0. 67)차,차이유통계학의의(P<0. 05). 관찰조환자술후장명음회복시간、수차항문배기시간급수차항문배편시간균조우대조조,차이유통계학의의(P<0. 05). 관찰조환자술후병발증발생솔16. 67%,저우대조조적34. 88%,차이유통계학의의(P<0. 05). 결론 식관암환자위수술기실시호리간예,가이유효강저환자술후동통、감소진통약물응용량、촉진위장공능회복、강저병발증발생솔,촉진환자술후강복.
Objective To investigate the effect of nursing intervention on postoperative pain and complications in patients with esophageal carcinoma. Methods Eighty-five patients who underwent radical surgery for esophageal carcinoma between Octo-ber 2012 and October 2014 were enrolled in this study and randomly divied into observation group ( n=42 ) and control group (n=43) according to their order of hospitalization. Patients in both groups were on routine perioperative nursing of esophageal carcinoma. Additional nursing intervention was given in the observation group. Postoperative pain, recovery of gastrointestinal function and complications were observed for patients in both groups. Results Patients in the observation group had lower VAS scores at 6, 24, 48 and 72 postoperatively compared to controls, with a statistically significant difference (P<0. 05). Frequency of intermittent administration of analgesics at 72 postoperatively was lower in patients in the observation group than in controls (5. 90 ± 0. 41 vs. 11. 34 ± 0. 67), with a statistically significant difference (P<0. 05). Recovery time of postoperative borboryg-mi, initial time of anal exsufflation, and initial defecation time were earlier in patients in the observation group than in controls, with statistically significant differences (all P<0. 05). Postoperative morbidity was lower in the observation group than in controls (16. 67% vs. 34. 88%), with a statistically significant difference (P<0. 05). Conclusion Implementation of nursing interven-tion on patients with esophageal carcinoma during perioperation can effectively ease patient's postoperative pain, reduce dosage of analgesics, promote recovery of gastrointestinal function, lower the morbidity and facilitate patient's postoperative rehabilitation.
