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投稿时间：2021-10-22 网络发布日期：2022-05-20
投稿时间：2021-10-22 网络发布日期：2022-05-20
中文摘要: 目的 构建腹腔镜胆囊切除术（LC）围术期疼痛管理方案，分析应用效果。方法 运用文献研究法、问卷调查和德尔菲法构建LC围术期疼痛管理方案，采用目的抽样方法，将2019年7月至12月于宁波市镇海区人民医院行LC的患者作为对照组（ n =58），实施常规疼痛护理；2020年1月至6月行LC的患者作为观察组（ n =45），实施围术期疼痛管理方案。对比两组患者术后疼痛评分、止痛药物追加使用情况及疼痛控制满意度。结果 观察组术后各时间点静息性疼痛评分和术后24 h内活动性疼痛评分均低于对照组（P＜0.05）；观察组术后7～12 h止痛药物追加使用率低于对照组（P＜0.05）；观察组患者术后疼痛控制满意度评分高于对照组（P<0.05）。结论 LC围术期疼痛管理方案可减轻患者术后疼痛程度，降低术后止痛药物追加使用情况，提高疼痛控制满意度。
Abstract:ObjectiveTo construct a perioperative pain management plan for laparoscopic cholecystectomy (LC), and analyze its application effect. Methods A perioperative pain management plan for LC was developed through literature research method, questionnaire survey and Delphi method. Using purpose sampling method, 58 patients treated with LC in People's Hospital of Zhenhai District, Ningbo between July 2019 and December 2019 were selected as the control group, and were given routine pain nursing. 45 patients treated with LC between January 2020 and June 2020 were selected as the observation group, and were given perioperative pain management. The postoperative pain scores, additional use of analgesics and satisfaction with pain control were compared between the two groups. Results The resting pain scores at different time points after operation and active pain score within 24 hours after operation of the observation grouPwere lower than those of the control grouP(P<0.05). The rate of additional use of analgesics in the observation grouPin 7-12 hours after operation was lower than that in the control grouP(P<0.05). The score for satisfaction with postoperative pain control of the observation grouPwas higher than that of the control grouP(P<0.05). Conclusions The perioperative pain management plan for LC can alleviate postoperative pain of the patients, reduce additional use of analgesics after operation, and improve the patients' satisfaction with pain control.
keywords: Laparoscopic cholecystectomy Pain management plan Pain score Satisfaction with pain control
文章编号： 中图分类号： 文献标志码：B
基金项目:上海浦东新区卫计委面上基金资助项目（PW2017A-17）；宁波市镇海区医学科技计划基金资助项目（2018010）
附件
| 作者 | 单位 |
| 柯小飞1，2 | 1. 同济大学医学院，上海 200092；2. 宁波市镇海区人民医院普外科，浙江 宁波 315202 |
| 马丽莉3 | 3. 同济大学附属东方医院（上海市东方医院）护理部，上海200120 |
| 胡凯燕2 | 2. 宁波市镇海区人民医院普外科，浙江 宁波 315202 |
| Author Name | Affiliation |
| KE Xiao-fei*, MA Li-li, HU Kai-yan | *Tongji University School of Medicine, Shanghai 200092， China |
引用文本：
柯小飞1，2,马丽莉3,胡凯燕2.腹腔镜胆囊切除术围术期疼痛管理方案的构建及应用[J].中国临床研究,2022,35(5):726-730.
柯小飞1，2,马丽莉3,胡凯燕2.腹腔镜胆囊切除术围术期疼痛管理方案的构建及应用[J].中国临床研究,2022,35(5):726-730.