膝胸卧位、氧疗对妇科腹腔镜术后患者肩痛的影响

The efficacy of knee-chest position and oxygen therapy in the management of shoulder pain after gynecological laparoscopy

目的探讨膝胸卧位、氧疗对妇科腹腔镜术后患者肩痛的影响。方法将150例妇科腹腔镜术后患者随机分为3组,每组50例,分别采取膝胸卧位(试验1组)、氧疗(试验2组)和除氧疗和膝胸卧位以外的常规护理(对照组)。3组均采用通用的视觉模拟评分(VAS)于术后第1天的不同时段(8:00、16:00、20:00)进行肩痛评分,两个试验组还于干预前、后分别进行肩痛评分。结果3组患者首次干预前肩痛VAS评分无显著性差异(P>0.05)。第1次干预后,试验1组和试验2组在同一时段的肩痛评分均低于对照组,差异有统计学意义(P<0.01)。2个试验组干预前、后肩部VAS评分的变化明显,差异均有统计学意义(P<0.001)。结论术后膝胸卧位、氧疗能够显著改善妇科腹腔镜术后患者肩痛的情况。

Objective To evaluate the efficacy of knee-chest position and oxygen therapy in the management of shoulder pain after gynecological laparoscopy. Methods One hundred and fifty patients after gynecological laparoscopy were randomly assigned to knee-chest position group （experimental group 1）,oxygen therapy group （experimental group 2） and routine care group（control group）. The shoulder pain was measured with Vision Analogue Score（VAS） at different time（8：00,16：00 and 20：00） on the first day after the laparoscopy,as well as before and after the intervention. Results There was no significant difference on the score of VAS among the three groups before the intervention （P0.05）. After the first intervention,the scores of VAS of both experimental groups were significantly lower than that of control group （P0.01）. Moreover,the post-intervention scores of VAS were significantly lower than the pre-intervention scores of VAS in both experimental groups （P0.001）. Con-clusion Knee-chest position and oxygen therapy can significantly relieve the shoulder pain after gynecological laparoscopy.