术前监护及射频针选择对原发性肝癌射频消融术术中疼痛的影响

Effects of preoperative monitoring and selection of radiofrequency needle on pain during radiofrequency ablation in patients with primary liver cancer

目的：通过术前监测生命体征、记录所选用射频针型号、数量,对原发性肝癌射频（ RFA）术中患者是否发生疼痛进行分析,提高护士预见性护理能力和疼痛护理效果。方法回顾性分析2013年2—10月367例原发性肝癌患者RFA术前生命体征、选用射频针型号、数量等与术中疼痛的关系,采用Logistic回归模型进行统计分析。结果术前收缩压、术前心率、消融面积、射频针数量是疼痛产生的影响因素（β值分别为-0.2080,0.1055,0.2109,0.1793；P〈0.05）。结论护士可通过RFA术前监测生命体征来预测原发性肝癌患者术中发生疼痛的情况,也可以通过所选用射频针的型号、数量初步判断术中疼痛的几率,对RFA术预见性护理提供了依据。

Objective To analyze whether occur pain during radiofrequency ablation （ RFA ） by preoperative monitoring of vital signs and recording the types and amount of radiofrequency （ RF） needles, so as to enhance predictive nursing ability and effects of pain management. Methods We retrospectively analyzed the relationship between preoperative vital signs, types and amount of RF needles with intraoperative pain among 367 primary liver cancer patients from February to October 2013. The Logistic regression model was used for statistical analysis. Results The pain influencing factors included preoperative systolic pressure, preoperative heart rate, ablation area and amount of RF needles （β= -0. 208 0, 0. 105 5, 0. 210 9, 0. 179 3;P〈0. 05）.＆amp;nbsp;Conclusions Nurses can predict the status of intraoperative pain according to monitor vital signs, also can predict the rate of pain by the types and amount of RF needles, so as to provide evidence for he prediction nursing of RFA.