早期疼痛护理改善食管癌术后疼痛效果评价

Effect of early pain nursing on postoperative pain of esophageal cancer

目的探讨早期疼痛护理改善食管癌患者术后疼痛的临床效果。方法以2019—2021年间收治的70例食管癌患者为对象,盲选法均分为观察组(早期疼痛护理)与对照组(常规护理)。对比两组术后疼痛等。结果观察组术后24、48、72h疼痛程度均低于对照组(P<0.05)。术后24h观察组仅1例镇痛药后未缓解,对照组6例镇痛药后未缓解;术后48h观察组镇痛药后疼痛均缓解,对照组1例未缓解;术后72h两组镇痛药后疼痛均缓解。观察组睡眠时间长于对照组(P<0.05)。术后72h主诉使用镇痛药物率观察组低于对照组(2.86%:14.29%,P<0.05),镇痛满意度观察组高于对照组(97.14%:82.86%,P<0.05)。结论早期疼痛护理可减轻食管癌患者术后疼痛,促进患者术后恢复,改善患者的睡眠。

Objective To explore the clinical effect of early pain nursing on postoperative pain in patients with esophageal cancer.Methods 70 patients with esophageal cancer treated from 2019 to 2021 were divided into observation group(early pain nursing)and control group(routine nursing).The postoperative pain was compared between the two groups.Results the degree of pain in the observation group at 24,48 and 72 hours after operation was lower than that in the control group(P<0.05).24 hours after operation,only 1 case in the observation group did not alleviate after analgesics,and 6 cases in the control group did not alleviate after analgesics;48 hours after operation,the pain in the observation group was relieved after analgesics,and 1 case in the control group was not relieved;The pain was relieved 72 hours after operation.The sleep time in the observation group was longer than that in the control group(P<0.05).72 hours after operation,the main complaint rate of analgesic use in the observation group was lower than that in the control group(2.86%:14.29%,P<0.05),and the analgesic satisfaction in the observation group was higher than that in the control group(97.14%:82.86%,P<0.05).Conclusion early pain nursing can reduce postoperative pain,promote postoperative recovery and improve sleep of patients with esophageal cancer.