剖胸患者术侧上肢功能锻炼对减轻术后疼痛的研究

Study for pain release effect by early side upper limb functional training after thoracotomy.

目的观察剖胸术后早期术侧上肢功能锻炼对缓解疼痛的临床作用。方法选择94例剖胸术后患者,依其意愿分为功能锻炼组(47例)和对照组(47例)。用视觉模拟评分(Visual analogous scale,VAS)法和数字分级法(Numerical rating scale,NRS)于术后48 h自评疼痛程度,并记录剧烈疼痛的次数。结果两组在性别、年龄和疾病类别上均无统计学意义(P>0.05);功能锻炼组疼痛程度和疼痛次数分别为6.21±1.13和12.3±1.8;对照组分别为7.84±1.09和17.1±3.2;两组比较差异有显著性意义(P<0.05)。结论剖胸术后术侧上肢功能锻炼,可缓解心理压力,减轻术后疼痛程度和疼痛次数。

Objective To observer the clinical effect on release pain of early side upper limb functional training after thoracotomy. Method 94 patients were divided into training group （47 cases） and control group （47 cases）. According to VAS and NRS, each patient evaluated the degree of pain by himself after the operation 48 hours,and recorded the times of acute pain. Result There were not significant different between the 2 groups on patient＇s sex, age and disease type（P〉0.05）; The degree of pain and the times of pain in training group were 6.21±1. 13and 12.3±1.8;and the control group were 7.84±1.09 and 17.7±3.2, so there were significant different between the 2 groups on degree and times of pain（P〈0.05）. Conclusions Early side upper limb functional training after thoracotomy not only can reduce the physiological press. But mitigate the degree and times of pain.