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目的探讨程序化疼痛护理干预对降低化脓性阑尾炎患者术后疼痛的效果,以指导临床护理。方法 118例化脓性阑尾炎、行手术治疗患者,随机分为对照组和观察组,各59例。对照组予常规护理干预,观察组在此基础上开展程序化疼痛护理干预。对比两组术后多时间点疼痛程度,多时间段盐酸曲马多注射液肌注情况,患者出院时镇痛满意情况。结果两组术后即刻疼痛视觉模拟评分(VAS)差异无统计学意义(P>0.05),术后8、16、24 h观察组得分(3.0±0.8)、(2.1±0.6)、(1.4±0.5)分均明显低于对照组(4.3±1.1)、(3.9±0.8)、(2.3±0.6)分,差异具有统计学意义(P<0.05);观察组术后0~8 h、8~16 h、16~24 h盐酸曲马多注射液肌内注射人数均明显少于对照组(P<0.05);观察组患者出院时镇痛满意度明显高于对照组(P<0.05)。结论对化脓性阑尾炎患者,术后行程序化疼痛护理有助于减轻切口疼痛,提升预后。
Objective To investigate the effect of programmed pain nursing intervention on reducing postoperative pain in patients with suppurative appendicitis to guide clinical nursing. Methods 118 cases of suppurative appendicitis were treated surgically and randomly divided into control group and observation group, 59 cases each. The control group was given routine nursing intervention, and the observation group carried out programmed pain nursing intervention on this basis. The pain scores of the two groups at different time points were compared. The intramuscular injection of tramadol hydrochloride for multiple periods of time and the satisfactory analgesia condition of the patients discharged from hospital were compared. Results There was no significant difference in visual analog scale (VAS) between the two groups immediately after operation (P> 0.05). The scores of VAS in the two groups were 3.0 ± 0.8, 2.1 ± 0.6 and 1.4 ± 0.5) in the observation group was significantly lower than that in the control group (4.3 ± 1.1), (3.9 ± 0.8) and (2.3 ± 0.6) points respectively, with statistical significance (P <0.05) The number of intramuscular injection of tramadol hydrochloride injection at 16 h and 16-24 h was significantly less than that of the control group (P <0.05). The satisfaction rate of analgesia at the time of discharge in the observation group was significantly higher than that of the control group (P <0.05). Conclusion For patients with suppurative appendicitis, procedural postoperative pain care can help to reduce incision pain and improve prognosis.