术前及术后预防性镇痛干预在日间疝气手术患者中的应用分析

Analysis of preoperative and postoperative prophylactic analgesic intervention in patients with daytime hernia operation

目的探究术前及术后全程预防性镇痛干预在日间疝气手术患者治疗中的应用效果,为患者术后镇痛提供参考.方法回顾性分析2015年9月~2017年12月期间该院日间疝气手术患者128例的临床诊疗情况.按照患者是否在术前以及术后采取预防性镇痛干预,将患者分为观察组和对照组,各64例.对照组患者采用常规对症镇痛措施对患者进行治疗,观察组患者在术前及术后全程采取预防性镇痛干预,比较分析两组患者的疼痛状况、各项手术指标及术后满意程度.结果采取预防性镇痛干预前,两组患者VAS评分比较,差异无统计学意义(P>0.05),采取预防性镇痛干预后,观察组患者VAS评分明显低于对照组,患者下床活动时间以及住院时间明显短于对照组,并发症的发生率明显低于对照组,差异均有统计学意义(均P<0.05),并且观察组患者的满意率为95.31%,明显高于对照组(89.06%),差异有统计学意义(P<0.05).结论术前及术后预防性镇痛干预在日间疝气手术患者治疗中的效果良好,可显著改善患者的疼痛状况及满意度,降低患者并发症的发生率,值得广泛应用.

Objective To explore the application effect of preoperative and postoperative prophylactic analgesic intervention in the treatment of patients with daytime hernia surgery, so as to provide reference for postoperative analgesia. Methods The clinical diagnosis and treatment of 128 cases of hernia surgery in our hospital from September 2015 to December 2017 were retrospectively analyzed.Patients were divided into observation group and control group according to whether patients took preoperative and postoperative analgesic interventions, 64 cases in each group.Patients in the control group were treated with routine analgesic measures.Preoperative and postoperative analgesic interventions were taken in the observation group.The pain status, surgical indications and postoperative satisfaction were compared between the two groups. Results Before preventive analgesic intervention, there was no significant difference in VAS score between the two groups (P>0.05). After preventive analgesic intervention, the VAS score of the observation group was significantly lower than that of the control group, and the time to bed ambulation and The hospitalization time was significantly shorter than the control group, the incidence of complications was significantly lower than the control group, the difference between the two groups was statistically significant (P<0.05). And the satisfaction rate of the observation group was 95.31%, which was significantly higher than that of the control group (89.06%). The difference between the two groups was statistically significant(P<0.05). Conclusions Preoperative and postoperative preventive analgesic interventions are effective in the treatment of daytime hernia patients, which can significantly improve the patient 's pain condition and satisfaction, and reduce the incidence of complications in patients, which is worthy of wide application.