超前镇痛护理在食管癌术后病人疼痛控制中的应用

Application of preemptive analgesia care in pain control for patients after undergoing esophageal cancer surgery

[目的]探讨超前镇痛在食管癌术后病人疼痛控制中的效果。[方法]随机将240例食管癌手术病人分为对照组组和观察组各120例,对照组实施常规镇痛护理,即术前行疼痛知识宣教,术后应用疼痛数字评价量表(NRS)评分法定时评估病人疼痛,根据评分行针对性镇痛处理;观察组在常规镇痛护理基础上,增加术前超前镇痛知识宣教,术后在执行各临床操作前行预见性疼痛评估,根据评分行预见性镇痛处理。比较两组病人术后24h,48h,72h内疼痛评分,术后肺部并发症发生率。[结果]两组病人术后疼痛程度低于对照组(P<0.01),肺部并发症发生率低于对照组(P<0.05)。[结论]超前镇痛可减轻食管癌病人术后疼痛程度,减少肺部并发症的发生,有利于病人早日康复。

Objective. To probe into the effect of preemptive analgesia in pain control for patients after undergoing esophageal cancer surgery. Methods：A total of 240 cases of esophageal cancer patients undergoing operation were randomly divided into control group and observation group, 120 cases in each. The patients in control group were given routine analgesia nursing.preoperative knowledge education of pain, postoperative pain evaluation by using numerical rating scale （NRS）after operation, carrying out targeted analgesic treatment based on score;The patients in observation group received preemptive analgesia knowledge education on the basis of routine analgesia nursing, predictability of pain assessment before executing postoperative each clinical operation,then according to the score to carry out predictability analgesic treatment. Postoperative pain score and incidence of postoperative pulmonary complications were compared in postoperative 24h,28h and 72h. Results：The postoperative pain in patients in observation group was lower than that in control group （P 〈 0. 01）, incidence of pulmonary complication was lower than that in control group（P〈0.05）. Conclusion. Preemptive analgesia can reduce postoperative pain degree in esophageal cancer patients and the occurrence of pulmonary complications,and it is beneficial for patients＇ early rehabilitation.