胸腔闭式引流术后微量泵输注曲马多镇痛的临床观察与护理

Clinical observation and nursing of injecting tramadol by micro pump after tube thoracostomy

目的观察胸腔闭式引流术后微量泵输注曲马多镇痛的效果,指导临床护理工作。方法将80例胸腔闭式引流术后患者随机分为观察组和对照组。观察组术后使用微量泵静脉输注曲马多持续镇痛,对照组疼痛难忍时给予肌肉注射曲马多。结果2组患者术后疼痛程度、开始下床活动时间、引流时间等均有显著性差异(P<0.01)。结论胸腔闭式引流术后应用微量泵镇痛,能有效减轻术后疼痛,阻断了因术后疼痛产生的一系列影响康复的因素,缩短病程,促进患者早日康复。

Objective To observe the analgesia effect of injecting tramadol by micro pump after tube thoracostomy in order to guide clinic nursing. Methods 80 patients with thoracostomy was divided randomly into observation group and control group. After tube thoracostomy, the patients in observation group received tramadol with intravenous injection by micro pump, and those in control group received tramadol with intramuscular injection when they could not endure the pain. Results There were significant differences in pain status, time of beginning get out of bed and do movement and drainage time between two groups （P〈0.01）. Conclusions After tube thoracostomy, using micro pump for analgesia can ease pain effectively and block a series of bad complications caused by post-operation pain and reduce healing time as well as make the patient recover earlier.