术前告知眼科局麻手术患者术中可能承受疼痛的临床效果观察  

Observation of clinical effect on patients with local anesthesia in ophthalmologic operation with informing the possible ache prior to operation

作　　者：徐卫鸿[1] 金海英[2] 孟荣英[2] 高春华[3] 

机构地区：[1]中国人民武装警察部队总医院医务部经济管理科,北京100039 [2]中国人民武装警察部队总医院心血管内科,北京100039 [3]中国人民武装警察部队总医院骨科,北京100039

出　　处：《中国急救复苏与灾害医学杂志》2010年第12期1134-1136,共3页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的探讨术前是否对眼科局麻手术患者告知术中町能疼痛程度的效果的比较。方法将眼科局麻手术患者随机分为干预组和对照组。干预组术前接受护士告知的术中可能受到的疼痛方面的知识；对照组按眼科术前常规护理进行准备。结果干预组患者自测的术中疼痛的强度分值显著低于对照组（P〈0．05）；手术巡回护士测评的患者术中紧张程度显著低于对照组；南术者测评的干预组患者术中配合程度得分显著高于对照组（P〈0．05）；干预组躁动例数显著低于对照组（P〈0．05）。结论术前应当重视眼科局麻手术患者术中可能受到的疼痛告知，患者术前知晓术中可能受到的疼痛，有助于缓解患者术中的焦虑，加强与术者的手术配合。Objectives To observe the clinical effect on patients with local anesthesia in ophthahnologic operation with whether informing them prior to operation of possible ache in procedure. Methods The patients with local anaesthesia in ophthalmologic operation were randomly divided into two groups, informed group （n=71） which was told about tbe possible ache in procedure before the operation started, and uninformed group （n=82） which the information was not given. Results In average, the intensity level of ache during procedure the patients of the informed group testified was obviously lower than those of uninformed group （P〈0.05）. It was also proven by the nurse＇ operation evaluation review. Not only had the patients of informed group received higher score on being cooperative during operation than those of uninformed group, but also were less impetuous than the patients of uninformed group （P〈0.05）. Conclusion Acknowledgement of possible ache in operation to patients who have ophthalmologic operation with local anesthesia prior to the procedure may help ease their anxiety and degree of the ache, and increase their cooperation during the procedure.

关 键 词：眼科手术 局部麻醉 手术中 疼痛 视觉模拟尺 护理 

分 类 号：R779.6[医药卫生—眼科]