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目的:观察围术期适当的心理干预对肠造口手术患者术后镇痛效果的影响。方法:选择我院2012年12月至2014年2月胃肠外科收治的直肠癌行肠造口手术患者60例,并将其随机分成对照组(C组)和干预组(T组),对照组患者给予正常术后镇痛,干预组患者给予正常术后镇痛并在围术期给予心理干预处理,观察和比较两组患者的VAS、术后镇痛效果满意度、术后不良反应的发生情况。结果:两组的性别、年龄、体重、身高、术前VAS评分比较差异无统计学意义(P>0.05)。T组患者术后24 h的VAS评分明显低于C组(P<0.05),72 h VAS评分虽然有所下降,但差异无统计学意义(P>0.05)。与C组相比,T组对术后镇痛满意度为“非常满意”的人数百分率显著高于C组(P<0.05)。T组不良反应的发生率低于C组,但两组差异无统计学意义(P>0.05)。结论:围术期对直肠癌行肠造口手术患者进行恰当的心理干预可增强患者术后的镇痛效果,提高患者术后满意度,且不增加不良反应。
Objective: To observe the effect of perioperative psychological intervention on postoperative analgesia in patients undergoing colostomy. Methods: Sixty patients undergoing colostomy for rectal cancer admitted from December 2012 to February 2014 in our hospital were randomly divided into control group (C group) and intervention group (T group), and control group The patients were given normal postoperative analgesia. The patients in the intervention group were given normal postoperative analgesia and perioperative psychological intervention. The VAS, postoperative satisfaction with postoperative analgesia, postoperative adverse reactions What happened? Results: There was no significant difference in gender, age, weight, height and preoperative VAS scores between the two groups (P> 0.05). The VAS scores of patients in T group at 24 hours after operation were significantly lower than those in C group (P <0.05). There was no significant difference in VAS score at 72 hours after operation (P> 0.05). Compared with group C, the percentage of patients in group T who were satisfied with postoperative analgesia was significantly higher than that in group C (P <0.05). The incidence of adverse reactions in group T was lower than that in group C, but there was no significant difference between the two groups (P> 0.05). CONCLUSION: Perioperative psychological intervention in patients with rectal cancer undergoing colostomy can enhance postoperative analgesia and improve postoperative satisfaction without increasing adverse reactions.