应用腹带缓解儿童腹腔镜术后疼痛的效果  

Effects of medical bellyband in pain relief after laparoscopic surgery in children

作　　者：李金艳 刘永艳[1] 张琳[1] 杨凤兰[1] 吴荣艳[1] LI Jinyan;LIU Yongyan;ZHANG Lin;YANG Fenglan;WU Rongyan(Department of General Surgery,Children＇s Hospital Affliated to Capital Institute of Pediatrics,Beijing,100020)

机构地区：[1]首都儿科研究所附属儿童医院普通外科,北京100020

出　　处：《中西医结合护理（中英文）》2018年第6期93-94,共2页Journal of Clinical Nursing in Practice

摘　　要：目的探讨应用腹带干预腹腔镜阑尾炎手术患儿术后疼痛的效果。方法 2017年1月—3月收治的30例患儿设为对照组,2017年7月—9月收治的30例患儿设为观察组。对照组采用围术期常规护理,观察组在对照组基础上应用腹带止痛。比较术后返回病房时、术后4 h、首次下床时、术后第1天和术后第2天的疼痛情况。结果术后返回病房时和术后4 h疼痛程度比较,观察组较对照组轻微。首次下床时、术后第1天及术后第2天2组疼痛程度无明显区别。结论腹带的应用在一定程度上减轻了患儿腹腔镜术后疼痛,且操作简单、经济,是一种有效、实用的护理方法。Objective To evaluate the medical bellyband in pain relief after laparoscopic surgery for appendicitis in children. Methods Totally 30 pediatric patients undergoing laparoscopic surgery for appendicitis were included as the control group between January,2017 and March,2017. Another 30 pediatric patients were enrolled as the observation group between July,2017 and September,2017. Pediatric patients in both two groups received routine care during operation period,and the medical bellyband was adopted in the observation group. The postoperative incision pain was evaluated by visual analogue scale. Results Compared with those in the control group,pediatric patients in the observation group had a lower VAS score of incision pain at 4 h after operation. There was no obvious difference in VAS score of incision pain at time points of leaving bed,1 day and 2 days after operation. Conclusion Medical bellyband is an cost-effectiveness tool in relieving the postoperative incision pain of children with laparoscopic surgery for appendicitis.

关 键 词：腹腔镜手术 腹带 术后疼痛 镇痛 疼痛管理 

分 类 号：R473.72[医药卫生—护理学]