鼻腔、鼻窦术后患者疼痛程度的评估及临床分析

Evaluation and Clinical Analysis of Pain Level after Naso-sinus Surgery

目的 调查分析鼻腔、鼻窦术后患者的疼痛程度,有针对性地加强鼻部手术后患者疼痛的护理。方法 采用马盖尔(McGill)问答法对 １２９例鼻腔、鼻窦手术后患者的疼痛程度进行评估并观察记录患者的表情、活动、睡眠及饮食情况。结果 术后２４ｈ内疼痛程度明显高于 ４８ ｈ。手术前、后患者每天睡眠时间、饮食量有明显差异。结论 通过术前宣教、术后护理和合理应用镇静止痛药物能有效降低术后疼痛。

ABSTRACT Objective: To investigate and analyze pain levels after naso-sinus operations objectivelyand to enhance pain control after nosesurgery. Methods l29 patients who received naso-sinus sur-gery were evaluated and their expression, activity, sleeping and diet were recorded after surgerywith McGill questionnaire. Results Pain levels were related well with time after surgery. pain lev-els were higher at 24h than 48h after surgery. Sleeping time and capacity of diet decreased signifi-cantly after surgery. Conclusion Pain after naso-sunus surgery was decreased by propaganda edu-cation before surgery,nursing after surgery and appropriate administration of sedative and analge-sic.