肝切除患者出院后疼痛随访分析  

Analysis on Pain Follow-Up at er Discharged in Patients with Liver Resection

作　　者：乔晓斐[1] 荚卫东[1] 吕建国[1] 田为红 周红[1] 

机构地区：[1]安徽省立医院肝脏外科肝胆胰外科安徽省重点实验室,安徽合肥230001

出　　处：《中国普外基础与临床杂志》2015年第10期1168-1170,共3页Chinese Journal of Bases and Clinics In General Surgery

基　　金：国家自然科学基金资助项目(项目编号:81172364);安徽省科技攻关资助项目(项目编号:1301042199)~~

摘　　要：目的对肝切除患者出院后疼痛随访,为开展院外延续性疼痛治疗提供参考依据。方法对2014年12月1日至2015年4月30日期间在笔者所在医院科室行肝切除手术患者开展出院疼痛随访,了解其术后14 d、1个月、2个月和3个月时疼痛发生率、特点以及程度。结果 1术后14 d患者疼痛评分均在0~3分,属轻度疼痛;术后2个月有24例患者仍有疼痛,发生率为20.69%（24/116）;3个月疼痛发生率为18.97%（22/116）。2术后2个月内男女患者间疼痛发生率差异无统计学意义（P〉0.05）;术后3个月,男女患者疼痛发生率分别为13.04%（9/69）和27.66%（13/47）,其差异有统计学意义（P〈0.05）。3〉60岁患者较≤60岁患者术后疼痛程度评分和疼痛发生率均低,但其差异均无统计学意义（P〉0.05）。4慢性疼痛患者中81.82%（18/22）表现为内脏钝痛,18.18%（4/22）表现为表皮刺痛或麻木感。结论应关注肝切除术后患者院外疼痛,开展院外延续性疼痛治疗及护理,努力减轻患者痛苦,提高其术后生活质量。Objective To follow-up pain after discharged in patients with liver resection and provide a reference to carry out the continued pain treatment outside the hospital. Methods Post-discharged pain follow-up in patients with liver resection in our department from December 1, 2014 to April 30, 2015 were conducted, and the pain incidence, characteristics and level on 14 days, 1 month, 2 months, and 3 months after operation were understanded. Results （1）The pain score of patients on 14 days after operation was 0-3 points, which was mild pain. In 2 months after operation, 24 patients still had pain, the incidence was 20.69% （24/116）. In 3 months after operation, the pain incidence was 18.97% （22/116）. （2） There was no significant difference in the pain incidence between men and women in 2 months after operation （P〉0.05）. In 3 months after operation, the pain incidence of male and female patients was 13.04% （9/69） and 27.66% （13/47）, respectively, the pain incidence of female was significantly higher than men （P〈0.05）. （3） The postoperative pain score and incidence in patients more than 60 years old were lower than that in patients less than 60 years old but the score and the incidence of postoperative pain in patients with different ages were not statistically significant （P〉0.05）. （4） In chronic painpatients,81.82%（18/22）werevisceralpain,18.182%（4/22）wereskin tingging or numbness.Conclusion We should focus on the continued pain treatment outside the hospital in patients with hepatic resection, make efforts to alleviate pain, and improve the postoperative quality of life.

关 键 词：肝切除术 慢性疼痛 出院随访 

分 类 号：R473[医药卫生—护理学]