规范化疼痛管理在肝癌手术患者中的应用  

Application of stan dardized pain managemen t perioperative hepatectomy for patients with liver cancer

作　　者：王伟娜[1] 黄家丽[2] 荚卫东[1] 乔晓斐[1] 张玲[1] 李建生[1] 

机构地区：[1]安徽省立医院肝脏外科,合肥市230001 [2]安徽省立医院护理部,合肥市230001

出　　处：《实用肝脏病杂志》2013年第5期419-420,共2页Journal of Practical Hepatology

摘　　要：目的研究肝癌患者围手术期规范化疼痛管理对患者疼痛控制与术后恢复的影响。方法将60例行肝癌手术的患者随机分为对照组和观察组。观察组患者予以规范化疼痛管理,对照组实施传统的疼痛管理。比较两组患者术后下床活动时间、肠道通气时间、夜间平均睡眠时长、术后住院天数、疼痛控制满意度和术后并发症发生率的差异。结果观察组术后下床活动时间、肠道通气时间和住院天数分别为2.8±0.4天、1.8±0.3天和6.00±0.9天,均显著低于对照组(分别为3.0±0.8天、3.9±0.6天和7.9±0.8天,P<0.05);观察组夜间平均睡眠时长为7.50±0.8小时,优于对照组(5.8±0.7小时,P<0.05﹚;观察组疼痛控制满意度为93.75%,显著高于对照组的64.29%(P<0.05);观察组和对照组术后并发症的发生率为2.3%和2.1%,差别无统计学意义。结论规范化疼痛管理可以改善原发性肝癌患者术后疼痛,促进患者康复。Objective To investigate the effects of standardized pain management on pain relive and post-operative recovery for patients with hepatocellular carcinoma after hepatectomy. Methods Sixty patients with HCC underwent hepatectomy were randomly divided into control group and observation group. The patients in observa-tion group underwent standardized pain management and those in control group were subjected to traditional pain management. Time for out-of-bed activity,gas evacuation,postoperative hospital stay,average nighttime sleep,satis-faction in pain-control and early postoperative complication rates were observed. Results The time out-of-bed activity,gas evacuation and postoperative hospital stay in observation group were 2.8±0.4d,3.9±0.6d and 6.00±0.9d, respectively,which were significantly shorter than those in the control group （3.0±0.8d,2.8±0.4d,3.9±0.6d,respec-tively,P〈0.05）;Average nighttime sleep in observation group was 7.50±0.8h,which was significantly longer than that in control group（5.8±0.7h）;Pain-control satisfaction in observation group was 93.75%,significantly higher than that in control group（64.29%）;Postoperative complication occurrence did not differ between the two groups. Con-clusion Standardized pain management for postoperative patients with HCC can significantly release pain and promote patient recovery.

关 键 词：肝癌 疼痛管理 规范化 

分 类 号：R735.7[医药卫生—肿瘤]