急性疼痛服务模式缓解成人扁桃体切除术后疼痛临床研究.docVIP

急性疼痛服务模式缓解成人扁桃体切除术后疼痛临床研究 　　[摘要] 目的 探讨NBAS-APS模式对缓解扁桃体切除术后成人患者疼痛的影响。 方法 选取2013年3月～2014年9月住无锡市第四人民医院耳鼻咽喉-头颈外科在局麻下行双侧扁桃体切除的成人患者61例，随机分为实验组和对照组。对照组患者给予常规术后护理，实验组患者除给予常规术后护理外，应用NBAS-APS模式进行术后疼痛管理，比较两组患者术后镇痛效果、首次进食的时间、术日当晚睡眠时间、术后住院天数以及并发症发生率。 结果 扁桃体术后即刻、1 h、3 h、6 h、12 h、24 h的镇痛效果方面，静息和吞咽状态下，实验组镇痛效果均明显优于对照组，差异具有统计学意义（P0.05）。 结论 NBAS-APS模式能够有效缓解患者扁桃体术后疼痛，有助于提早进食，增加术日当晚睡眠时间，改善睡眠质量，提高舒适度，增加患者满意度。 　　[关键词] 扁桃体手术；疼痛；并发症；生活质量 　　[中图分类号] R766.4；R614 [文献标识码] B [文章编号] 1673-9701（2015）31-0142-04 　　Clinical research of pain management on NBAS-APS model in adult patients after tonsillectomy 　　XUAN Xiaolin XU Pengcheng 　　Department of Otolaryngology Head and Neck Surgery， the Affiliated Hospital of JiangNan University（Wuxi Fourth Peoples Hospital）， Wuxi 214062， China 　　[Abstract] Objective To discuss the effect of the NBAS-APS model in the pain release of adult patients after tonsillectomy. Methods A total of 61 adult patients after tonsillectomy were randomly assigned to two groups（n=31 in control group， n=30 in experimental group. The control group received routine postoperative care， whereas experimental group received routine postoperative care and NBAS-APS model on postoperative pain management. Post-tonsillectomy pain， the sleep time， postoperative hospitalization days and the complication rates were compared between the groups. Results Postoperative pain was recorded on operation day 0， 1， 3， 6， 12 and 24 hours. Post-tonsillectomy pain on 1 to 24 hours were significantly lower in experimental group. The sleep time was longer in the control group. The postoperative hospitalization days and the complication rates did not differ significantly between the groups（P0.05）. Conclusion The NBAS-APS model can reduce the pain effectively after tonsillectomy in adult patients， help to eat early and increase the sleep time. 　　[Key words] Tonsillectomy； Pain； Complications； QOL 　　疼痛研究一直是国际上热门的课题之一。在部分发达国家，疼痛已经列入护理教育的课程，并将疼痛控制的满意程度作为医疗护理质量管理的重要指标之一。在常见疾病的护理需求中，术后疼痛是最普遍、也是最棘手的健康问题之一[1]。