以护士为基础的疼痛管理模式在普通外科应用的临床效果研究  

The clinical results of nurse-based pain management model used in general surgery

作　　者：敬雪梅[1] 陈中林[1] 何平[1] 

机构地区：[1]大英县人民医院,四川大英629300

出　　处：《临床和实验医学杂志》2007年第2期34-35,37,共3页Journal of Clinical and Experimental Medicine

摘　　要：目的评价以护理为基础的镇痛管理模式下连续硬膜外镇痛(PCEA)对外科术后镇痛效果以及患者生理功能恢复的影响。方法对实施PCEA镇痛模式的520例外科术后病人进行开放性、前瞻性、非随机性的观察性研究,分为两组,即观察组(实施PCEA镇痛模式管理组);对照组(非PCEA镇痛管理组)。结果与对照组比较,实观察组术后镇痛效果指标VAS值显著降低(P<0.01),术后24h和48h睡眠时间显著增加(P<0.01),术后下床活动时间提前、住院时间显著缩短(P<0.01),病人总体满意度提高(P<0.01);药物不良反应皮肤瘙痒、呼吸困难、尿潴留、恶心呕吐等差异无显著性意义(P>0.05)。结论该项研究表明以护理为基础的镇痛管理模式应用于PCEA术后镇痛能有效提高镇痛效果。Objective To investigate the effect of continuous epidural analgesia under the guidance of nurse - based pain management model （PCEA） on post - operational analgesia and the recovery of physiologic function. Methods We enrolled 520 postoperative patients into this non randomized, prospective and open study and randomized them into two groups. Those in observation group received PCEA and the control group were given other analgesic modalities. Results As compared with control group, VAS values （analgesic index） were decreased significantly in PCEA group patients （ P 〈0.01 ）, sleep duration was increased significantly 24h and 48h after operation （ P 〈0.01 ）. In the observation group, patients got out of bed earlier, hospital stay was shorter （ P 〈0.01 ）, patients＇satisfactions were increased （ P 〈0.01 ） and the side - effects of analgesics were not significant clinically （ P 〉 0.05） ,such as pruritus of skin, dyspnea, nausea, vomit and retention of urine. Conclusion The study results showed that PCEA was effective in reliving post - operational pains.

关 键 词：疼痛 手术后 镇痛效果 

分 类 号：R473.6[医药卫生—护理学]