| 摘要: |
| 目的：探讨中西医结合疼痛护理在日间腹腔镜胆囊切除术（laparoscopic cholecystectomy，LC）围手术期中的应用价值。方法：对2017年11月—2018年5月146例行日间LC手术患者实施中西医结合疼痛护理措施（实验组），并与同期住院行常规LC术患者127例（对照组）进行对比，分析对比两组患者术后疼痛评分、术后使用阿片类镇痛药例数、护理满意度评分等。结果：实验组术后各时间点疼痛评分及阿片类药物使用例数明显低于对照组（P<0.05），护理满意度评分明显高于对照组（P<0.05）。结论：在日间LC术围手术期中实施中西医结合疼痛护理可明显降低患者疼痛程度，促进患者快速康复，增加患者护理满意度。 |
| 关键词: 日间手术 疼痛护理 中西医结合 腹腔镜胆囊切除术 |
| DOI：10.3969/j.issn.1007-6948.2019.03.023 |
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| 基金项目: |
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| Application of Pain Relieving Nursing Care of Integrated Traditional Chinese and Western Medicine in Patients after Ambulatory Laparoscopic Cholecystectomy |
| LI Yue, ZHENG Ming-wei Tianjin Nankai Hospital, Tianjin (300100), China |
| Tianjin Nankai Hospital, Tianjin (300100), China |
| Abstract: |
| Objective To explore the application value of pain relieving nursing care of integrated traditional Chinese and Western medicine in the patients after ambulatory laparoscopic cholecystectomy (LC). Methods Between November 2017 and May 2018, 146 cases of patients undergoing ambulatory LC and pain relieving nursing care of integrated traditional Chinese and Western medicine (observation group) were compared with contemporary 127 patients who underwent LC and routine nursing group (control group). The clinical data, including numerical rating scale of postoperative pain, number of postoperative using opiates and satisfaction degree of nursing care were retrospectively analyzed. Results In the observation group, postoperative pain score and number of postoperative using opiates were significantly lower than those in the control group, postoperative pain score (2.6+1) was significantly lower than that of the control group (3.8+1.6), and the satisfaction degree of nursing care in the observation group was significantly higher than that of control group. Conclusion Pain relieving nursing care of integrated traditional Chinese and Western medicine in the patients after ambulatory LC can reduce the degree of postoperative pain and use of opiates, which improves the postoperative recovery of patients and increases the satisfaction degree of nursing care. |
| Key words: Ambulatory surgery pain relieving nursing care integrated traditional Chinese and Western medicine laparoscopic cholecystectomy |
