胆囊结石腹腔镜术后疼痛护理中循证护理应用效果探讨.docVIP

胆囊结石腹腔镜术后疼痛护理中循证护理应用效果探讨 　　[摘要] 目的 探究循证护理在胆囊结石患者经腹腔镜手术治疗之后出现疼痛的护理效果。方法 随机选取2014年1月―2015年1月该院收治的100例通过腹腔镜手术治疗的胆囊结石患者，将这100例胆囊结石患者随机分为实验组以及对照组。实验组胆囊结石患者在腹腔镜手术之后给予循证护理，对照组胆囊结石患者在腹腔镜手术之后给予常规的护理，对实验组以及对照组经腹腔镜手术治疗的胆囊结石患者在术后经不同护理方法的效果进行比较分析。结果 实验组和对照组患者术后疼痛原因主要为创口疼痛（100%和100%）、牵涉疼痛（24.00%和26.00%）、发生胆漏（4.00%和4.00%），组间差异无统计学意义（P0.05）。实验组疼痛程度评分明显低于对照组，实验组在腹腔镜术后疼痛时间小于12 h的例数（42.00%）与对照组（48.00%）相比差异无统计学意义（P0.05），实验组患者在腹腔镜手术之后疼痛时间在12～14 h之间的例数（54.00%）明显高于对照组患者（36.00%），差异具有统计学意义（P0.05）。结论 对胆囊结石患者经腹腔镜手术治疗之后，加以循证护理，可以明显的减少患者在手术之后的疼痛程度以及疼痛时间，提高胆囊结石患者治疗的效果。 　　[关键词] 胆囊结石；腹腔镜；疼痛；循证护理 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-0742（2015）09（c）-0124-03 　　[Abstract] Objective To explore the effect of evidence-based nursing on the postoperative pain in patients undergoing laparoscopic surgery for cholelithiasis. Methods 100 cases underwent laparoscopic surgery for cholelithiasis in our hospital from January 2014 to January 2015 were selected as the subjects and randomly divided into the experimental group and the control group. After surgery， patients in the experimental group were given evidence-based nursing， and those in the control group were given conventional nursing. And the nursing efficacy of the two groups was analyzed and compared. Results Wound pain， referred pain and bile leakage were the main reasons that caused postoperative pain in both groups. 100% of the patients in the experimental group and control group had wound pain， 24.00% of the patients in the experimental group and 26.00% of the patients in the control group had referred pain， 4.00% of the patients in the experimental group and control group had bile leakage， the differences between the two groups were not statistically significant（P0.05）. The VAS scores were much lower in the experimental group than in the control group. 42.00% of the patients in the experimental group and 48.00% of the patients in the control group had postoperative pain lasting for less than 12h， the difference between the two groups was no