疼痛护理干预在腹腔镜肝切除术治疗肝癌患者中的效果研究

Effect of pain nursing intervention on laparoscopic liver resection in therapy of liver cancer patients

目的 观察疼痛护理干预在腹腔镜治疗肝癌患者中的临床效果.方法 选取2011年3月至2013年1月行腹腔镜肝癌切除术的67例患者,随机分为对照组35例和观察组32例,对照组给予常规护理,观察组在给予常规护理的基础上,同时给予术前、术中和术后疼痛护理干预,观察术后6、12、24 h疼痛程度以及治疗效果评价.结果 两组疼痛程度显示：观察组术后各时间段均低于对照组,自由活动时间、镇痛药的使用量和住院时间明显优于对照组,差异均有统计学意义（P＜0.01）.结论 疼痛护理干预可以帮助腹腔镜治疗肝癌患者减少疼痛程度,提高治疗效果,改善生活质量.

Objective To observe the clinical effect of pain nursing intervention on liver cancer patients with laparoscopic.Methods Sixty-seven patients with hepatocellular carcinoma underwent laparoscopic hepatectomy from March 2011 to January 2013 were randomly divided into control group（35 cases） and observation group（32 cases）.The control group was given conventional nursing care plan,and the observation group was given the perioperative,operative and postoperative pain nursing intervention and conventional nursing care plan.The degree of pain at 6,12,24 h after operation and other indexes between the two groups were compared.Results After the comparasion of pain of different period after operation between the two groups,the observation group was lower than that of the control group.The time of being off bed,the dose of analgesic drug use and length of stay were significantly better than the control group,there were significant differences（P 〈 0.01）.Conclusions Pain nursing intervention can help reduce the pain of laparoscopic treatment in patients with liver cancer pain,improve the treatment effect and the quality of life.