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学科主题: 耳鼻咽喉科学
题名:
超前镇痛对扁桃体切除术后镇痛效果及满意度的研究
其他题名: Study on ache control degree of satisfaction for patients with tonsillectomy by advance analgesia
作者: 药晋红; 胡萍; 付雪雁
关键词: 扁桃体切除术 ; 镇痛 ; 疼痛,手术后 ; 病人满意度 ; Tonsillectomy ; Ache control ; Pain,after operation ; Patient satisfaction
刊名: 中华现代护理杂志
发表日期: 2011
DOI: 10.3760/cma.j.issn.1674-2907.2011.36.002
卷: 17, 期:36, 页:4410-4412
收录类别: 中国科技核心期刊
文章类型: Journal Article
摘要: 目的 探讨超前镇痛对扁桃腺切除术后镇痛的效果及满意度.方法 选择扁桃腺切除术的患者103例,随机分为实验组53例和对照组50例.两组患者术前由责任护士指导使用0~10疼痛数字量表评估疼痛程度,对照组术后在患者提出需要镇痛药时,护士遵医嘱给药.实验组手术前责任护士对患者进行疼痛认知与态度的评价,术后当疼痛程度达到3时护士遵医嘱给药.两组镇痛药均选择双氯芬酸钾25~50mg口服.比较两组患者术后疼痛情况及用药量.结果 实验组术后3h疼痛程度(3.900±1.207)分,术后第1天早餐前疼痛程度(4.830±1.845)分,均低于对照组(4.960±1.611)分和(5.590±1.681)分,两组比较差异有统计学意义(t=-3.657,-2.067;P <0.05);术后24h内实验组用药量为(90.25±31.25)mg,对照组为(62.5±33)mg.两组比较差异有统计学意义(=3.01,P<0.01).实验组术后镇痛满意度为90.6%,对照组为82.0%,两组比较差异有统计学意义(x2 =11.2,P<0.05).结论 超前镇痛能有效减轻患者疼痛程度,提高扁桃腺切除术后患者镇痛满意度. Objective To evaluated the ache control degree of satisfaction of patients with tonsillectomy by advance analgesia.Methods 103 patients who were randomized into two groups were instructed to use the pain rating scale.The control group stochastically (n =53) group was given pain killer in time.The aim of control was below three.The experimental group ( n =50) was given pain killer when they asked.Observe the effect of analgesics and ache control degree of satisfaction.Results The average pain on the 0 - 10 NRS of the 3 hour after operation was (3.900 =1.207) in the experimental and (4.830 ± 1.845) one day after operation in the morning,and those in the control group were (4.96 ± 1.611 ) and (5.590 ± 1.681 ) ; the differences between the two groups were statistically significant (t =- 3.657,- 2.067 ; P < 0.05 ) ; dose of medicine during 24 h in experimental group were (90.25 ±31.25)mg,and (62.5 ±33)mg in the control group,and the difference was significant (t =3.01,P <0.01 ) ; ache control degree of satisfaction in experimental group was 90.6% and in control group was 82.0%,the difference was significant ( x2 =11.2,P < 0.05).Conclusions Advance analgesia could ease the pain more effectively.The ache control degree of satisfaction was improved.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/69117
Appears in Collections:北京大学第三临床医学院_耳鼻喉科_期刊论文

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作者单位: 100191,北京大学第三医院耳鼻咽喉科

Recommended Citation:
药晋红,胡萍,付雪雁. 超前镇痛对扁桃体切除术后镇痛效果及满意度的研究[J]. 中华现代护理杂志,2011,17(36):4410-4412.
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