细致化手术室护理对腹腔镜根治性肾切除术患者术后疼痛及康复的影响  

The effect of detailed operating room nursing on postoperative pain and rehabilitation of patients undergoing laparoscopic radical nephrectomy

作　　者：吴超萍 WU Chao-ping(The Affiliated Hospital of Putian University,Putian City,Fujian Province,351100,China)

机构地区：[1]莆田学院附属医院,福建莆田351100

出　　处：《蛇志》2021年第4期463-465,共3页Journal of Snake

摘　　要：目的分析细致化手术室护理对腹腔镜根治性肾切除术患者术后疼痛及康复的影响。方法按随机数字表法将2018年8月~2020年8月在我院行腹腔镜根治性肾切除术患者86例分为对照组和观察组,每组43例。对照组采取常规手术室护理,观察组实施细致化手术室护理。比较两组护理前和护理72 h后的疼痛评分[视觉模拟评分法(VAS)]及康复(引流管拔除时间、下床活动时间和住院时间)情况,并比较两组的并发症发生率。结果护理前,两组患者的VAS评分比较,差异无统计学意义(P>0.05)。护理72 h后,观察组患者的VAS评分为(2.13±0.34)分,对照组为(3.39±0.62)分,两组比较差异具有统计学意义(P<0.05)。两组患者的康复情况比较,观察组的引流管拔除时间为(50.62±10.39)h、下床活动时间为(1.62±0.51)d、住院时间为(6.76±1.30)d,均短于对照组的(88.54±15.63)h、(2.96±0.54)d、(7.58±1.31)d,组间比较差异有统计学(均P<0.05)。两组的并发症发生率比较,观察组为2.33%低于对照组的18.60%,差异有统计学意义(P<0.05)。结论腹腔镜根治性肾切除术实施细致化手术室护理干预,能减轻患者疼痛程度,降低并发症发生风险,促进患者康复。Objective To analyze the effect of detailed operating room nursing on postoperative pain and rehabilitation of patients undergoing laparoscopic radical nephrectomy.Methods According to the random number table method,86 patients who underwent laparoscopic radical nephrectomy in our hospital from August 2018 to August 2020 were divided into two groups.The control group(43 cases)received routine operating room care,and the observation group(43 cases)received detailed operating room care.The pain score[visual analogue scale(VAS)]and rehabilitation(drainage tube removal time,time to get out of bed,and hospital stay)were compared between the two groups before nursing and 72 hours after nursing,and the incidence of complications between the two groups was compared.Results The VAS score of the observation group was(2.13±0.34)points after 72 hours of nursing care,and that of the control group was(3.39±0.62)points.The difference in nutrition between the two groups was statistically significant(P<0.05).Comparison of the rehabilitation of the two groups of patients.The drainage tube removal time of the observation group was(50.62±10.39)h,the time of getting out of bed was(1.62±0.51)d,and the hospitalization time was(6.76±1.30)d,which were shorter than those of the control group(88.54±15.63)h,(2.96±0.54)d,(7.58±1.31)d,the difference between the groups was statistically significant(all P<0.05).Comparing the incidence of complications between the two groups,the observation group was 2.33%,which was lower than 18.60%of the control group,and the difference between the groups was statistically significant(P<0.05 for each).Conclusion After laparoscopic radical nephrectomy patients undergo meticulous nursing intervention in the operating room,the pain degree and the risk of complications can be reduced,and the patient's recovery speed can be accelerated.

关 键 词：腹腔镜 根治性肾切除术 细致化手术室护理 术后疼痛 康复情况 

分 类 号：R737.11[医药卫生—肿瘤] R473.6[医药卫生—临床医学]