体位干预对妇科腹腔镜术后患者非切口疼痛的影响  

Effects of Posture Intervention on the Non-incision Pain of Patients after Laparoscopy Operation in Gynecology Department

作　　者：孙美农[1] 王娜卿[1] 

机构地区：[1]首都医科大学附属北京朝阳医院妇产科,北京市100020

出　　处：《中国病案》2016年第1期95-96,共2页Chinese Medical Record

摘　　要：目的探讨体位干预对妇科腹腔镜术后患者非切口疼痛的影响。方法选择2014年4月~5月在某三甲医院行妇科腹腔镜手术的术后患者60例,随机分为对照组和干预组,每组30例,对照组采用常规护理,干预组除常规护理外,采用体位干预。两组均记录非切口疼痛出现时间及消失时间,并采用数字评价量表,对首次出现疼痛及术后12h、24h、48h、72h分别进行疼痛评分。结果两组出现疼痛时间无统计学差异（P〉0.05）,干预组疼痛消失时间小于对照组,差异具有统计学意义（P〈0.05）,干预组术后疼痛评分低于对照组,差异具有统计学意义（P〈0.01）。结论体位干预能够显著改善妇科腹腔镜术后患者非切口疼痛的严重程度。Objective To investigate the effect of posture intervention on non-incision pain of patients after gynecological laparoscopy operation. Methods Data were collected for 60 patients who underwent gynecological laparoscopy surgery in a top three hospital from April to May 2014. The patients were randomly divided into two groups, which include 30 cases given usual care as control group and 30 cases given usual care and posture intervention as experimental group. The time of non-incision pain appeared and disappeared were recorded in both two groups. Pain was measured by numerical rating scales at the time it began to appear and 12 h, 24 h, 48 h, 72 h postoperatively. Results The time of pain appeared showed no statistical significance between two groups（P0.05）,but the disappearing time of pain was significant shorter in the experimental group than in the control group（P〉0.05）. The NRS scores of postoperative pain in the experimental group were significant lower than that in the control group（P〈0.01）. Conclusion Posture intervention could reduce the non-incision pain degree of patients after gynecological laparoscopy operation obviously.

关 键 词：腹腔镜手术 妇科 非切口疼痛 体位干预 

分 类 号：R473.71[医药卫生—护理学]