医护一体化镇痛在食管癌患者快速康复中的应用  

Application of integrated analgesia of medical care in rapid recovery of patients with esophageal cancer

作　　者：黄欣 李亚玲 罗湘玉 徐萍萍[1] 杨娇 Huang Xin;Li Yaling;Luo Xiangyu;Xu Pingping;Yang Jiao(Hubei University of Medicine, Shiyan 442000, China;Taihe Hospital, Shiyan City, Hubei Province(Affiliated Hospital of Hubei University of Medicine), Shiyan 442000, China)

机构地区：[1]湖北医药学院,湖北十堰442000 [2]湖北省十堰市太和医院(湖北医药学院附属医院),442000

出　　处：《国际护理学杂志》2019年第16期2641-2645,共5页international journal of nursing

基　　金：湖北省教育厅科学技术研究项目(B2016497).

摘　　要：目的研究医护一体化镇痛对食管癌患者术后康复进程的影响,观察其对患者术后早期咯痰、早期下床、并发症发生以及疼痛评分的影响。方法选取2016年6月~2017年12月于十堰市三甲医院住院的食管癌围术期患者92例并按照患者住院顺序随机将患者分为观察组和对照组,每组46例。对患者术前的一般资料进行采集,对患者手术后4~72 h的快速康复的指标进行调查和记录。结果观察组疼痛程度在术后4 h、8 h、24 h、48 h的疼痛评分低于对照组,差异有统计学意义(P<0.001),观察组疼痛评分在术后12 h、72 h与对照组相比,差异均无统计学意义(均P>0.05)。观察组早期咯痰时间、下床时间和住院日数、并发症发生率与对照组相比,差异均有统计学意义(均P<0.05)。结论将医护一体化镇痛用于食管癌患者可以减少患者的疼痛评分,促进患者早期咯痰,早期下床,减少患者住院日数和并发症发生率,利于加快患者康复。Objective To study the effect of integrated analgesia of medical care on postoperative rehabilitation process of patients with esophageal cancer, and to observe its effect on early postoperative sputum expectoration, early bed removal, complication occurrence and pain score. Methods A total of 92 perioperative esophageal cancer patients admitted to shiyan grade a hospital from June 2016 to December 2017 were selected and randomly divided into observation group and control group according to the order of admission, with 46 cases in each group. The preoperative general data of the patients were collected, and the indicators of rapid recovery 4 hours to 72 hours after surgery were investigated and recorded. Results Pain scores of the observation group at 4 hours, 8 hours, 24 hours and 48 hours after surgery were lower than those of the control group, with statistically significant differences(P<0.001). There was no statistically significant difference in pain scores between the observation group and the control group at 12 hours and 72 hours postoperatively(P>0.05). Compared with the control group, there were statistically significant differences in the time of early sputum cough, time of getting out of bed, number of days in hospital and incidence of complications in the observation group(P<0.05). Conclusions Applying integrated analgesia of medical care to patients with esophageal cancer can reduce the pain score of patients, promote patients to cough up phlegm at the early stage, get out of bed at the early stage, reduce the number of days in hospital and the incidence of complications, and accelerate the recovery of patients.

关 键 词：医护一体化 镇痛 食管癌 围术期 

分 类 号：R473.73[医药卫生—护理学]