腹腔镜胆囊切除术颈肩痛护理干预的效果观察  

The efficacy observation of nursing intervention in the pain of neck and shoulder in patients undergoing laparoscopic cholecystectomy

作　　者：任巧梅[1] 甘启祥[1] 

机构地区：[1]广元市第二人民医院,四川广元628017

出　　处：《四川医学》2008年第10期1452-1453,共2页Sichuan Medical Journal

摘　　要：目的探讨腹腔镜胆囊切除术(LC)颈肩痛的相关因素,根据原因进行护理干预,以降低LC手术颈肩痛的发生率和减轻疼痛的程度。方法分析传统LC手术颈肩痛患者的术前、术后护理资料,将该组作为对照组。实验组采用改良手术体位,合理调节气腹压力,术中在肝隔面使用麻醉药物,术中常规吸氧,术后延长吸氧时间等护理干预措施,观察颈肩痛发生情况及程度。结果两组术后颈肩痛发生率比较,P<0.001;VAS评分两组比较P<0.001。结论正确的护理干预措施,能有效预防及减轻LC术后颈肩痛。Objective To discuss the related factors of pain in neck and shoulder in laparoseopie eholeeyst ectomy, reduce the incidence and relieve the pain by nursing intervention according to the cause. Methods The data about the preoperative and postoperative care in patients with pain of neck and shoulder who underwent traditional laparoscopic cholecystectomy were analysed. The patients were considered to be in control group. The nursing intervention measures were taken in experimental group, for example, the improved operation posture was.adopted, pneumoperitoneum pressure was regulated rationally, narcotic drugs were usd in the diaphragm of liver, oxygen was inhaled commonly during the operation and time for oxygen was extended after the operation. We observed the incidence and degree of the pain in two groups. Results We compared the incidence of pain in the two groups （ P 〈 0. 001 ） and the visual analogure scale（ VAS, P 〈 0.001 ）. Conclusion The correct nursing intervention can prevent and relieve the pain efficiently.

关 键 词：腹腔镜胆囊切除术 颈肩痛 护理干预 

分 类 号：R473.6[医药卫生—护理学]