3种方法治疗妇科腹腔镜术后肩痛患者的效果观察  

Effect of three therapies on shoulder pains after gynecological laparoscopies

作　　者：潘晓晶[1] 牛丽娜[1] 任岚岚[1] 

机构地区：[1]中国医学科学院北京协和医院妇产科,北京100730

出　　处：《现代临床护理》2013年第11期45-48,共4页Modern Clinical Nursing

摘　　要：目的探讨3种方法治疗妇科腹腔镜术后肩痛患者的效果。方法将180例妇科腹腔镜术后患者随机分为3组,分别采取肩部热敷(热敷组57例)、氧气吸入治疗(氧疗组65例)和常规护理(对照组58例)。3组患者在手术后马上给予3 h氧气吸入,对照组给予心理护理、安慰支持、按摩等常规护理,热敷组与氧疗组在术后第1 d上午8:00(首次干预)及下午16:00(第2次干预),分别给予肩部热水袋热敷(每次30 min)和鼻导管氧气吸入(流量2 L/min,每次2 h)。比较3组患者术后第1 d不同时段(8:00、16:00、20:00)肩痛评分,热敷组与氧疗组不同时段干预前后肩痛评分情况。结果干预后热敷组和氧疗组在同一时段的肩痛评分均低于对照组,组间比较,差异具有统计学意义(均P<0.05),但两组同一时段肩痛评分比较,差异无统计学意义(P>0.05);热敷组与氧疗组干预前后肩部视觉模拟评分(vision analogue score,VAS)评分组间比较,差异具有统计学意义(均P<0.001),干预后评分明显低于干预前。结论术后热敷、氧疗均能有效改善妇科腹腔镜术后患者肩痛情况,但两者的治疗效果没有明显差异,临床可以根据患者经济条件、术后恢复情况选择适宜的方法。Objective To study the effects of three therapies on shoulder pains after gynecological laparoscopies.Methods After the gynecological laparoscopies,180 patients were randomly assigned to hot compress group（n=57）,oxygen therapy group （n=65）and routine care group as control group（n=58）.All the patients in the three groups were given oxygen inhalation for three hours.Besides,those controls were given mental care,comfort support and massage,while those in the two experiment groups were managed with hot compress on the shoulder and oxygen inhalation via nasal tube at 2 L/min each for 2 hours at 8 am and 4 pm on the first day.The three groups were compared in terms of shoulder pains,at different time points on the first day（at 8 am,4 pm and 8 pm）. Results After intervention,there were significant differences between the three groups in terms of shoulder pains（P＆lt;0？05）.In both experiment groups,the scores on the shoulder pains after intervention were significantly lower than those before intervention（P＆lt;0？001）. Conclusions Hot compress and oxygen treatment are both effective in relief of the shoulder pain after gynecological laparoscopy. Therefore,the therapy can be decided on economic conditions and postoperative rehabilitations.

关 键 词：腹腔镜手术 肩痛 热敷 氧气吸入疗法 

分 类 号：R473.71[医药卫生—护理学]