呼吸训练缓解妇科腹腔镜手术后膈下疼痛的效果观察

Effect of breathing exercises on relieving subphrenic pain in patients after gynecological laparoscopic surgery

目的探讨呼吸训练在缓解妇科腹腔镜手术后膈下疼痛方面的效果。方法选择妇科腹腔镜术后患者60例,按入院顺序单双数分为试验组与对照组,每组30例。试验组术后常规吸氧3h,患者主诉膈下疼痛或肩痛时指导其进行深呼吸、缩唇呼吸。对照组术后常规吸氧3h,并协助早期下床活动。结果试验组术后24h、48h疼痛视觉模拟评分(VAS)明显低于对照组(P<0.01或P<0.05)。结论呼吸训练可作为妇科腹腔镜手术后膈下疼痛的缓解措施。

Objective To evaluate the effect of breathing exercises on relieving subphrenic pain in patients after gynecological laparoscopic surgery.Methods Sixty patients after gynecological laparoscopic surgery were randomly divided into two groups.The patients in the control group received routine oxygen therapy for three hours and assistance for early ambulation.In addition,guidance of breathing exercises including deep breath and holding breath was provided for the patients in the experimental group when they suffered from subphrenic of shoulder pain.Results The scores of visual analogue scale（VAS） 24h and 48h after operation in the experimental group were significantly lower than those of control group（P0.01 or 0.05）.Conclusion Breathing exercises can relieve subphrenic pain in patients after gynecological laparoscopic surgery.