针对性护理对腹腔镜胆囊切除患者术后疼痛与并发症的影响

Effect of targeted nursing on postoperative pain and complications in patients undergoing laparoscopic cholecystectomy

目的探讨针对性护理对腹腔镜胆囊切除术(LC)患者术后疼痛与并发症的影响效果。方法选择LC手术患者110例,按随机数字表法分为对照组与研究组,各55例。对照组采用常规护理措施,研究组在此基础上采用针对性护理干预改善术后疼痛症状与并发症情况。采用视觉模拟评分法(VAS)比较2组患者术后1 d、2 d、3 d时的疼痛情况,记录并比较2组术后并发症情况。结果研究组术后2 d、3 d时的VAS评分低于对照组(P<0.05);2组术后1 d时的VAS评分差异无统计学意义(P>0.05)。研究组术后并发症发生率为5.45%,低于对照组的18.18%(P<0.05)。结论针对性护理应用于LC手术患者中具有显著效果,可有效缓解疼痛症状,降低并发症发生率,值得在临床推广。

Objective To investigate the effect of targeted nursing on postoperative pain and complication in patients undergoing laparoscopic cholecystectomy （LC）. Methods A total of 110 patients who underwent LC were divided into control group and study group by random number table method. The control group was treated with routine nursing measures while the study group applied targeted nursing intervention such as postoperative pain symptoms and complications on the basis of the control group. The visual analogue scale （VAS） was used to compare the pain scores on the 1 st, 2nd and 3rd postoperative day. The postoperative complications were observed and recorded. Results The VAS score of the study group was lower than that of the control group on the 2nd and 3rd postoperative day （ P 〈 0.05 ）. There was no significant difference in VAS score between the two groups on the lst postoperative day （P 〉 0.05）. The incidence of postoperative complications was 4.44% in the study group, which was lower than 17.78 % in the control group （P 〈 0.05 ）. Conclusion Targeted nursing has significant effect in LC patients, which can effectively relieve pain symptoms and reduce the incidence rate of complications, so it is suitable for clinical promotion.