长海痛尺在食管癌术后疼痛管理中应用.docVIP

长海痛尺在食管癌术后疼痛管理中应用 　　[摘要] 目的 探讨长海痛尺评估疼痛的临床应用及对食管癌术后疼痛管理的应用效果。方法 方便选取2015年7―12月该院胸外科108例食管中段癌手术患者，随机分为传统评估组和痛尺评估组，每组54例。传统评估组根据患者自述并配合护士主观判断来评估患者术后疼痛，痛尺评估组根据长海痛尺评分标准评估术后疼痛；对两组患者术后疼痛控制效果进行统计分析。 结果 实验组在安静和活动时评分（0.56±0.88）分、（1.39±1.82）分均小于对照组（4.27±1.63）分、（5.17±1.59）分，疼痛控制效果优于对照组，差异有统计学意义（P0.05）。 结论 根据长海痛尺评估疼痛，有助于提高食管癌术后患者的疼痛管理质量。 　　[关键词] 长海痛尺；疼痛评估；护理管理；疼痛护理 　　[中图分类号] R614；R655 [文献标识码] A [文章编号] 1674-0742（2017）03（b）-0161-03 　　[Abstract] Objective To study the application of changhai pain rating scale in the pain management after the esophageal cancer operation. Methods 108 cases of patients with esophageal cancer operation treated in the department of chest surgery in our hospital from July 2015 to December 2015 were convenient selected and randomly divided into two groups with 54 cases in each， the traditional evaluation group evaluated the postoperative pains according to the self-description of patients and subjective judgment of nurses， while the pain rating scale group evaluated the postoperative pains according to the changhai pain rating criteria， and the control effect of postoperative pains of the two groups was counted and analyzed. Results The scores in quiet and activity in the experimental group were fewer than those in the control group[（0.56±0.88）points，（4.27±1.63）points vs （1.39±1.82）points，（5.17±1.59）points]， and the pain control effect was better than that in the control group， and the difference had statistical significance（P0.05）. Conclusion The evaluation of pains according to the changhai pain rating scale contributes to improving the pain management quality of patients after the esophageal cancer operation. 　　[Key words] Changhai pain rating scale； Pain evaluation； Nursing management； Pain nursing 　　我国是食管癌高发地区之一，无明显远处转移的病人，手术治疗时其首选的治疗方法。手术径路常经左胸切口，由于胸壁神经丰富，手术切口会使其受到不同程度的损伤，因而术后早期伤口疼痛非常明显。经左胸行食管癌切除术是引起术后疼痛程度最严重的外科方式之一[1]。剧烈疼痛易导致肺不张、坠积性肺炎、局部组?粘连等并发症，严重影响疾病的恢复。因此，疼痛管理成为了食管癌切除患者术后护理的重点之一。评估疼痛是有效疼痛管理的首要步骤，如果评估方法不妥，将会影响对疼痛的管理。长海痛尺是一种客观疼痛评估工具[2]。2015