护理干预在开腹肝叶切除术后静脉自控镇痛中的应用效果

The application effect of the nursing intervention on patient-controlled intravenous analgesia in hepatectomy with laparotomy

目的探讨开腹肝叶切除术后静脉自控镇痛的效果及护理方法。方法选择患者80例,分为两组,每组各40例,观察组实施护理干预,对照组则实施常规术后护理,如引流管护理、饮食干预等,比较两组患者不同时间点的VAS评分和不良反应。结果观察组术后12、24、36、48 h疼痛VAS评分均显著低于对照组(P<0.05),观察组发生恶性呕吐、腹胀便秘、皮肤瘙痒及呼吸抑制的比例均显著低于对照组(P<0.05)。结论护理干预能显著提高肝胆手术术后静脉镇痛的效果,减少不良反应,值得临床推广。

Objective To explore the effect of patient-controlled intravenous analgesia and nursing intervention of hepatectomy with laparotomy. Methods 80 cases were selected and divided into two groups,each group of 40 cases,the observation group was given nursing intervention,the control group was given the routine postoperative care,such as drainage tube care,dietary intervention,then the VAS score at different time points and adverse reactions were compared in the two groups. Results The pain VAS scores of observation group in 12 h,24 h,36 h and 48 h after postoperative were lower than that of the control group respectively （P〈0.05）,the malignant vomiting,abdominal distension and consti- pation,pruritus and respiratory depression ratios in observation group were lower than those of control group （P〈0.05）. Conclusion Nursing intervention can significantly improve the effect of patient-controlled intravenous analgesia in hepatectomy with laparotomy,so it is worthy of promotion.