早期介入规范化疼痛管理在肛门疾病术后中的应用  

The effect of pain management on the patients with anal disease after surgery

作　　者：杜文敏[1] 郑雄彦[1] 魏丽芳[1] 

机构地区：[1]广东省深圳市中医院肛肠科,518033

出　　处：《国际护理学杂志》2012年第7期1164-1166,共3页international journal of nursing

摘　　要：目的观察早期介入规范化疼痛管理在肛门疾病术后中的应用效果。方法将350例肛门手术后患者随机分为观察组178例和对照组172例，观察组术后给予术后常规护理的同时即进行规范化疼痛管理，采用“长海痛尺”评分表进行术后疼痛的评估，测得分值在3～4分时及时进行有效镇痛治疗。对照组采用传统镇痛方法，即在患者感觉伤口疼痛明显，测得分值≥6分时才给予镇痛治疗。观察两组患者的镇痛效果及满意度。结果观察组的疼痛评分、镇痛效果、对镇痛效果满意度均明显优于对照组（P〈0．05）；平均住院天数少于对照组，睡眠满意度大于对照组（P〈0．01），差异有统计学意义。结论早期实施规范化疼痛管理，能有效缓解肛门疾病术后伤口疼痛，提高患者满意度，促进康复，缩短住院天数。Objective To observe the effect of postoperative pain management on the patients with anal disease. Methods The 350 cases of anal surgery patients were randomly divided into the observation group （ n = 178 ） and the control group （ n = 172） . The observation group was given a normal postoperative care and a standardized pain management by using ＂ Changhai pain ruler＂ score table to evaluate the degree of postoperative pain. If the scores were more than 3, a pain treatment would be applied. An routine analgesic treatment was adopted in the control group when the pain in the wound was obvious with a measured score≥6. Analgesic effects and satisfaction were observed and compared in two groups patients. Results Pain scores, analgesic effect, the satisfaction with analgesic effect in the observation group were significantly better than those in the control group （ P 〈 0. 05 ） ; the average hospitalization days in observation group was less than that in the control group, and satisfaction with the sleep was higher than that in the control group （P 〈 0. 01 ） , the difference was statisticallysignificant. Conclusions Early standardized pain management can effectively relieve anal postoperative wound pain, increase patients＂ satisfaction, promote rehabilitation and shorten hospital stay.

关 键 词：肛门疾病 术后 疼痛管理 

分 类 号：R473.6[医药卫生—护理学]