100例肛肠病围手术期止痛临床应用分析.docVIP

100例肛肠病围手术期止痛的临床应用分析 　　[摘要] 目的 研究100例肛?c病围手术期止痛的临床应用，从而提高患者的治疗效果和减轻患者痛苦。 方法 分别回顾调查医院内2014年10月―2017年2月收治的100例肛肠手术的患者，随机分为对照组和实验组。对照组50例肛肠手术患者一般给予镇痛治疗，实验组50例肛肠手术患者在以上基础上，采取围术期综合镇痛干预，手术结束后，医护人员需要给予患者复方亚甲蓝长效止痛剂，观察两组患者的并发症和不良反应，以及对患者进行VAS评分。结果 实验组和对照组患者在手术当天和手术后2 d VAS评分差异无统计学意义（P0.05）。实验组患者的术后7 d疼痛评分明显低于对照组患者，差异有统计学意义（P0.05）。实验组手术7 d轻度疼痛的患者有36例，占72%；中度疼痛的患者有14例，占28%；重度疼痛的患者有0例，占0%。对照组手术7 d轻度疼痛的患者有25例，占50%；中度疼痛的患者有25例，占50%；重度疼痛的患者有0例，占0%。 对照组手术2 d轻度疼痛的患者有15例，中度疼痛的患者有26例，重度疼痛的患者有9例。实验组手术2 d轻度疼痛的患者有19例，中度疼痛的患者有22例，重度疼痛的患者有9例。结论 肛肠病围手术期采用综合镇痛干预的护理方法，不仅可以提高患者的治疗效果和减轻患者痛苦，还可以增强患者对手术成功的信心，提高患者及其家属对止痛护理的满意程度，值得大力推广。 　　[关键词] 肛肠病；术后疼痛；护理措施；护理满意度 　　[中图分类号] R657 [文献标识码] A [文章编号] 1674-0742（2017）10（b）-0043-03 　　[Abstract] Objective This paper tries to study the clinical application of perioperative analgesia in 100 cases of anorectal disease， so as to improve the therapeutic effect of the patients and alleviate the pain of the patients. Methods 100 cases of patients with anorectal surgery in this hospital from October 2014 to February 2017 were respectively reviewed and were randomly divided into the control group and the experimental group. 50 cases in the control group were generally given analgesic therapy， 50 cases in the experimental group on that basis adopted comprehensive perioperative analgesic interventions， after the surgery， the medical personnel needed to give compound methylene blue long-acting analgesic， and then the complications of two groups of patients and adverse reactions， and VAS scores of patients were observed. Results There was no statistically significant difference in VAS score between the experimental group and the control group on the day of surgery and two days after surgery （P0.05）. The postoperative pain score in the experimental group was significantly lower than the control group for seven days after the surgery， the difference was statistically significant （P 　　[Key words] Anorectal disease； Postoperative pain； Nursing measures； Nursing satisf