疼痛护理对肾癌根治术后疼痛的影响

Effect of Pain Nursing on Postoperative Pain of Radical Nephrectomy of Renal Cancer

【目的】探讨疼痛护理对于肾癌根治术后疼痛的影响及效果。【方法12007年1月至2011年1月经行肾癌根治性切除的533例患者按时间先后分为对照组（n=267）与干预组（n=266），对照组行常规护理；护理干预组除常规护理外给予疼痛护理。对两组的疼痛情况、使用镇痛药物及住院时间进行评估。【结果】疼痛护理干预组患者术后疼痛评分（VAS）明显较常规护理组低，同时使用镇痛药物和住院时间明显少于常规护理组，均有显著性差异（P〈0．01，P〈0．05）。【结论】肾癌根治手术后疼痛护理干预对减轻患者疼痛、促进恢复有重要作用，值得进一步的推广。

[Objective]To explore the effect of pain nursing on postoperative pain of radical nephrectomy of renal cancer and its efficacy. [Methods]Totally 533 patients undergoing radical nephrectomy of renal cancer from Jan. 2007 to Jan. 2011 were divided into control group（ n =267） and intervention group（ n =266） ac- cording to the time. Control group received the routine care, while nursing intervention group received pain nursing based on routine care. The pain status, the use of analgesics and hospital day of two groups were as- sessed. [Results] The postoperative pain score of the nursing intervention group was significantly lower than that of the routine care group. Meanwhile the use of analgesics and hospital day of the nursing intervention group were significantly less than those of the routine care group, and there were significant differences（ P〈0.01, P 〈0.05）. [Conclusion]Pain nursing after radical nephrectomy of renal cancer plays an important role in relieving the postoperative pain and promoting the recovery. Therefore it is worthy of further promotion.