规范化疼痛干预对脑胶质瘤手术患者舒适度及睡眠质量的影响  

Effects of standardized pain intervention on comfort and sleep quality in patients with glioma undergoing surgery

作　　者：刘雪洋 王蒙雨 李娜[1] LIU Xueyang;WANG Mengyu;LI Na(Department of Neurosurgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院神经外科,郑州4500000

出　　处：《癌症进展》2025年第3期313-316,共4页Oncology Progress

基　　金：河南省科技发展计划项目(252102310296)。

摘　　要：目的 探讨规范化疼痛干预对脑胶质瘤手术患者舒适度及睡眠质量的影响。方法 依据干预方案的不同将102例脑胶质瘤手术患者分为对照组(n=50)和干预组(n=52),对照组患者给予常规干预,干预组患者给予规范化疼痛干预。比较两组患者术后恢复指标、镇痛药物使用量、疼痛程度[视觉模拟评分法(VAS)]、舒适度[舒适状况量表(GCQ)]、睡眠质量指标[睡眠总时间(TST)、觉醒时间(AWT)、觉醒次数(AT)、睡眠潜伏期(SL)、快动眼睡眠相潜伏期(RL)、睡眠效率(SE)]和并发症发生情况。结果 干预组患者首次进食时间、尿管拔除时间、首次下床活动时间均短于对照组,镇痛药物使用量低于对照组,差异均有统计学意义(P﹤0.05)。干预后,干预组患者VAS评分低于对照组,GCQ评分和SE均高于对照组,AWT、SL均短于对照组,AT少于对照组,TST、RL均长于对照组,差异均有统计学意义(P﹤0.05)。干预组患者术后并发症总发生率为11.54%,与对照组患者的16.00%比较,差异无统计学意义(P﹥0.05)。结论 规范化疼痛干预可有效缓解脑胶质瘤患者术后的疼痛程度,减少镇痛药物使用量,提高睡眠质量和舒适度,促进患者的术后恢复。Objective To analyze the effects of standardized pain intervention on comfort and sleep quality in patients with glioma undergoing surgery.Method According to different intervention methods,102 patients with glioma undergoing surgery were divided into control group(n=50)and intervention group(n=52).Patients in the control group received routine intervention,while patients in the intervention group received standardized pain intervention.The postoperative recovery indicators,analgesic drug usage,pain level[visual analogue scale(VAS)],comfort level[general comfort questionnaire(GCQ)],sleep quality indicators[total sleep time(TST),actual wake time(AWT),arousal time(AT),sleep latency(SL),rapid eye movement latency(RL),sleep efficiency(SE)],and the incidence of complications were compared between the two groups.Result The first meal time,catheter removal time,and first time getting out of bed activity in intervention group were shorter than those in control group,the analgesic drug usage was lower than that in control group,and the differences were statistically significant(P<0.05).After intervention,the VAS score in intervention group was lower than that in control group,the GCQ score and SE were higher than those in control group,AWT and SL were shorter than those in control group,AT was less than that in control group,and TST and RL were longer than those in control group,and the differences were statistically significant(P<0.05).The total incidence of postoperative complications in intervention group was 11.54%,which was not significantly different from 16.00%in control group(P>0.05).Conclusion Standardized pain intervention can effectively alleviate the postoperative pain level of glioma patients,reduce the analgesic drug usage,improve sleep quality and comfort,and promote postoperative recovery.

关 键 词：规范化疼痛干预 脑胶质瘤 舒适度 睡眠质量 

分 类 号：R739.41[医药卫生—肿瘤]