两种不同中频物理治疗仪在肺部微创术后患者中的应用效果比较  

Comparison of medium frequency physiotherapy instruments in postoperative pain managementafter minimally invasive lung surgery:a study of therapeutic effect

作　　者：陈莹[1] 周伟凌 李润[1] 黄丹霞[1] 梁美认 郭文巍[1] 陈洁雅[1] 李秀花 阮亮[1] 石海霞 Chen Ying;Zhou Weiling;Li Run;Huang Danxia;Liang Meiren;Guo Wenwei;Chen Jieya;Li Xiuhua;Ruan Liang;Shi Haixia(The First Affiliated Hospital,Guangzhou Medical University,Guangzhou,510120,China)

机构地区：[1]广州医科大学附属第一医院,广东广州510120

出　　处：《现代临床护理》2022年第2期71-75,共5页Modern Clinical Nursing

基　　金：广东省医学科研基金指令性课题,项目编号为C2019130。

摘　　要：目的了解两种不同中频物理治疗仪在肺部微创术后患者中的应用效果。方法选择2020年1月至2021年5月在本院行无管单孔胸腔镜手术的100例肺部小结节患者,按照入院先后次序编号,采用随机数字表法,将患者随机分为观察组和对照组,每组各50例,实施中观察组有3例脱落,实际纳入47例;对照组有4例脱落,实际纳入46例。在常规疼痛管理基础上,观察组应用本研究团队设计的便携式中频治疗仪(型号SMV-MFE-W02型)进行康复理疗;对照组应用传统中频治疗仪(型号YK-2000B)进行康复理疗,在术后当天(干预前)及术后第3天(干预后)比较两组患者疼痛得分组内及组间的差异和比较干预后两组患者疼痛程度及治疗仪操作准备时间的差异。结果干预前后两组患者疼痛得分组内比较,差异有统计学意义(t值分别为6.393,6.251,均P<0.001)。干预后两组患者疼痛得分和疼痛程度组间比较,差异无统计意义(P>0.05)。便携式治疗仪操作物品准备时间(27.86±0.17)min,传统中频治疗仪操作物品准备时间(31.26±0.58)min,差异有统计学意义(t=-12.412,P=0.025)。结论便携式中频治疗仪与传统中频物理治疗仪的临床治疗效果相似,能缓解肺部小结节手术患者的术后疼痛,但使用便携式中频治疗仪可节约操作准备时间,提高护理工作效率,从而减轻护士工作负荷。Objective To explore the therapeutic effect of two intermediate frequency physiotherapy instruments in the management of post-operative pain after minimally invasive lung surgery.Methods One hundred patients who receivedtubeless single port thoracoscopic surgeryfor small pulmonary nodules in our hospital,from January 2020 to May 2021,were selected and randomly divided into an observation group and a control group by random number table,with 50 patients per group.Three patients were excluded from the observation group with 47 were included.In the control group 4 patients were excluded and with 46 wereincluded.Based on the routine pain management,the observation group was offered with a portable medium frequency physiotherapeutic device(SMV-MFE-W02)for rehabilitative physiotherapy and a traditional medium frequency physiotherapeutic instrument(YK-2000B)was used in the control group.The scores of pain on the day of surgery and on the third day after surgery were compared within and between the two groups,and the level of pain after the interventionand the time for preparing the therapeutic instruments were compared between the two groups.Results Before and after the pain management,the scores of intergroup pain in both of the observation and the control groups were significantly different(t=6.393,6.251,both P<0.05).There was no significant difference in the level of pain between the two groups after the intervention of pain management(P>0.05).The time for preparing a therapeutic device in the observation group was significantly shorter than that in the control group(27.86±0.17 vs.31.26±0.58 min,t=-12.412,P=0.025).Conclusions terms of pain management,the portable medium frequency physiotherapeutic device is similar to the traditional medium frequency physiotherapeutic instrumentin alleviating the postoperative pain in patient who received atubeless single port thoracoscopic surgery.However,the portable device offers an advantage in saving the device preparation time hence itreduces the work-load and improves the wo

关 键 词：肺部小结节 无管单孔胸腔镜手术 物理疗法 疼痛 

分 类 号：R473.73[医药卫生—护理学]