呼吸训练联合功能康复操对缓解妇科腹腔镜患者术后非切口疼痛的临床观察  

Clinical Observation on Respiratory Training Combined with Functional Rehabilitation Exercises for Relieving Postoperative non Incision Pain in Gynecological Laparoscopic Patients

作　　者：蔡燕琴 袁伟亮 CAI Yanqin;YUAN Weiliang(Dapu County People's Hospital,Meizhou 514299,China)

机构地区：[1]大埔县人民医院,广东梅州514299

出　　处：《中国医药指南》2023年第29期121-123,共3页Guide of China Medicine

摘　　要：目的 观察针对妇科腹腔镜患者应用呼吸训练联合功能康复操对其术后非切口疼痛的临床效果。方法 本次研究选择2021年11月至2022年11月在大埔县人民医院收治的106例接受腹腔镜手术治疗的妇科患者,通过数字随机分配法将患者划分为常规组(n=53)与联合组(n=53),常规组患者接受妇科腹腔镜术后常规护理,联合组在常规组基础上增加呼吸训练联合功能康复操。结果 两组患者首次疼痛程度和术后12 h疼痛程度对比差异不具有显著性(P> 0.05);联合组患者术后24 h、48 h、72 h的视觉模拟疼痛评分量表(Visual Analogue Scale,VAS)的评分均低于常规组患者(P <0.05);联合组患者的疼痛持续时间、排气时间、下床活动时间、住院时间均短于常规组患者(P <0.05);联合组患者的术后非切口疼痛发生率为5.66%,低于常规组的20.75%(χ^(2)=5.267,P <0.05);联合组患者术后排尿状况优于常规组患者(P <0.05)。结论 针对妇科腹腔镜患者应用呼吸训练联合功能康复操对其术后非切口疼痛的临床效果突出,可有效降低术后疼痛发生率和疼痛程度,缩短疼痛持续时间、排气时间、下床活动时间及住院时间,促进患者康复。Objective To observe the clinical effect of respiratory training combined with functional rehabilitation exercises on postoperative non incision pain in gynecological laparoscopic patients.Methods In this study,106 gynecological patients who underwent laparoscopic surgery in dapu county people's hospital from November 2021 to November 2022 were selected.The patients were divided into a conventional group(n=53 cases)and a combination group(n=53 cases) using a digital random allocation method.The conventional group received routine care after gynecological laparoscopic surgery,while the combination group added respiratory training and functional rehabilitation exercises on top of the conventional group.Results There was no significant difference in the degree of pain between the two groups of patients at the first time and 12 hours after surgery(P>0.05);The VAS scores of the combined group patients at 24 hours,48 hours,and 72 hours after surgery were lower than those of the conventional group patients(P<0.05);The duration of pain,exhaust time,time to get out of bed activity,and hospitalization time of the combined group patients were shorter than those of the conventional group patients(P<0.05);The incidence of postoperative non incision pain in the combined group was 5.66%,lower than 20.75% in the conventional group(χ^(2)=5.267,P<0.05);The postoperative urination status of patients in the combined group was better than that of patients in the conventional group(P<0.05).Conclusions The application of respiratory training combined with functional rehabilitation exercises for gynecological laparoscopic patients has a prominent clinical effect on postoperative non incision pain.It can effectively reduce the incidence and degree of postoperative pain,shorten the duration of pain,exhaust time,time for getting out of bed activities,and hospitalization time,and promote patient recovery.

关 键 词：妇科腹腔镜 术后非切口疼痛 呼吸训练 功能康复操 

分 类 号：R713[医药卫生—妇产科学]