臀高卧位对妇科腹腔镜术后患者肩痛的影响

The efficacy of head-low and feet-high position on shoulder pain after gynecologic laparoscopy

目的探讨臀高卧位对妇科腹腔镜术后患者肩痛的影响。方法选择妇科腹腔镜手术术后患者120例,随机分为观察组和对照组,每组各60例。观察组患者于术后第1日3个时间点(7∶00,14∶00,20∶00)取臀高卧位,每次持续1h,对照组患者取自由体位。每次体位干预前后均采用视觉模拟评分法(VAS)评估2组患者的肩部疼痛情况。结果 2组患者第1次体位干预前肩痛VAS评分无显著性差异(P>0.05);而观察组第2次、第3次干预前肩部VAS评分明显低于对照组,差异有统计学意义(P<0.01);观察组患者每次干预后肩痛VAS评分明显低于干预前,差异有统计学意义(P<0.01)。结论术后采取臀高卧位,可有效缓解患者肩部疼痛。

Objective To explore the efficacy of head-low and feet -high position on shoulder pain after gynecologic laparoscopy. Methods 120 patients after gynecologic laparoscopy were enrolled in our group, who were randomly divided into observation group（n= 60） and control group （n=60）. Patients in the observation group took the head-low and feet -high position, each time lasted lh, the control group patients took the free position. Vision Analogue Score （VAS） was used to evaluate the relief of shoulder pain before and after the intervention. All patients were observed at three time points on the first day after surgery （7：00,14：00,20：00）.Results The shoulder pain scores of VAS between two groups had no significant difference before the first position intervention （P〉0.05）; however, before the second and third intervention, the shoulder pain scores of VAS in the observation group were significantly lower than that of the control group （P〈0.01 ）,the shoulder pain scores of VAS significantly decrease after the intervention each time in the observation group （P〈0.01）. Conclusion Head-low and feet -high position can effectively alleviate the patients＇ shoulder pain after gynecologic laparoscopy.