摘要
目的探讨多学科协作疼痛管理模式在胸腔镜下肺叶切除术围术期的应用效果。方法选择2018年11月—2020年10月江西省赣州市人民医院收治的88例胸腔镜下肺叶切除术患者为研究对象,按照随机数字表法分为观察组(44例)和对照组(44例)。对照组采取常规围术期护理,观察组在对照组的上采取多学科协作疼痛管理模式,观察至患者出院。比较两组的疼痛程度、术后各恢复时间及并发症发生情况。结果术后4 h两组的视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);观察组术后24、72 h的VAS评分低于对照组;术后初次下床、首次排气及住院时间短于对照组,差异均有统计学意义(P<0.05)。观察组的术后并发症总发生率为9.09%,低于对照组的25.00%,差异有统计学意义(P<0.05)。结论多学科协作疼痛管理模式能有效减轻胸腔镜下肺叶切除术患者的术后疼痛,促进患者恢复,减少术后并发症发生。
Objective To investigate the application effect of multidisciplinary collaborative pain management model in the perioperative period of thoracoscopic lobectomy.Methods A total of 88 patients with thoracoscopic lobulotomy admitted to Ganzhou People′s Hospital in Jiangxi Province from November 2018 to October 2020 were selected as the research subjects,and were divided into the observation group(44 cases)and the control group(44 cases)according to random number table method.The control group was treated with routine perioperative nursing,and the observation group was treated with multidisciplinary cooperative pain management mode on the basis of the control group,until the patients were discharged from hospital.The pain degree,postoperative recovery time and the incidence of complications were compared between the two groups.Results There was no significant difference in visual analogue scale(VAS)scores between the two groups at 4 hours after operation(P>0.05).The VAS scores of the observation group at 24 and 72 hours after operation were lower than those of the control group,the first exhaust and hospitalization time were shorter than those of the control group,and the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the observation group was 9.09%,lower than 25.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion The multidisciplinary collaborative pain management model can effectively reduce the postoperative pain of patients undergoing thoracoscopic lobectomy,promote postoperative recovery and reduce postoperative complications.
作者
钟明莲
ZHONG Ming-lian(Department of Thoracic Surgery,Ganzhou People′s Hospital,Jiangxi Province,Ganzhou341000,China)
出处
《中国当代医药》
CAS
2021年第21期253-255,259,共4页
China Modern Medicine
基金
江西省赣州市指导性科技计划项目(GZ2020ZSF 211)。
关键词
多学科协作疼痛管理模式
胸腔镜下肺叶切除术
疼痛程度
术后恢复
并发症
Multidisciplinary collaborative pain management model
Thoracoscopic lobectomy
Pain degree
Postoperative recovery
Complications
