疼痛护理在小儿漏斗胸Nuss术后应用.docVIP

疼痛护理在小儿漏斗胸Nuss术后应用 　　[摘要] 目的 探讨疼痛护理在小儿漏斗胸Nuss术后的应用效果。 方法 分析2011年1月～2013年8月温州医科大学附属第二医院收治的小儿漏斗胸实施Nuss术69例病例临床资料，依据是否实施疼痛护理进行分组，对照组（未进行疼痛护理组）33例和观察组（疼痛护理组）36例。观察两组患儿术后3 d呼叫疼痛、哭闹、躯体僵硬、有效咳嗽、下床活动人数情况。 结果 观察组术后第1天呼叫疼痛次数、哭闹人数显著低于对照组，差异均有统计学意义（t = 2.15，χ2=4.01，均P 0.05），观察组术后第2、3天，疼痛评分、呼叫疼痛次数、呼叫疼痛人数、哭闹及躯体僵硬人数均低于对照组，差异均有统计学意义（第2天：t = 3.05、2.55，χ2=5.01、4.48、4.21；第3天：t = 2.77、6.45，χ2=5.52、6.01、4.41，均P 0.05），有效咳嗽及下床活动人数均高于对照组，差异均有统计学意义（第2天：χ2=4.32、6.64；第3天：χ2=6.78、5.89，均P 0.05）。 结论 疼痛护理干预在小儿漏斗胸Nuss术后疼痛各阶段，均可辅助缓解疼痛，值得临床推广应用。 　　[关键词] 疼痛护理干预；小儿；漏斗胸；Nuss术 　　[中图分类号] R473.72 [文献标识码] B [文章编号] 1673-7210（2014）09（a）-0115-04 　　[Abstract] Objective To explore the application of pain nursing intervention in children with funnel chest Nuss. Methods Clinical data of 69 children with funnel chest Nuss form January 2011 to August 2013 in the Second Affiliated Hospital of Wenzhou Medical University were analyzed， which were divided into two groups of control group （no pain nursing care group） for 33 cases and detection group （pain nursing care group） for 36 cases. Postoperative 3 days calling pain， crying， the body stiffness， effective number of cough， ambulation of two groups were observed. Results The times of calling pain， crying number after operation 1 day of detection group were lower than control group （t = 2.15， χ2=4.01， all P 0.05）， pain score， times of calling pain， number of people who calling pain， crying and body stiffness after operation 2-3 days of detection group were lower than control group， the differences were significantly different （the second day： t = 3.05， 2.55， χ2=5.01， 4.48， 4.21； the third day： t = 2.77， 6.45， χ2=5.52， 6.01， 4.41， all P 0.05）， effective cough and number of bed activities of detection group were higher than control group， the differences were significantly different （the second day：χ2=4.32， 6.64； the third day：χ2=6.78， 5.89， all P 0.05）. Conclusion The pain nursing intervention is used in different stages of the pain of children with funnel ch