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目的:研究对进行骨科手术的患者实施综合性疼痛护理的临床效果。方法:将2016年1月到2017年1月期间在重庆市永川区中医院骨科接受手术治疗的90例患者按随机双盲法分为综合性护理组(n=45)和常规护理组(n=45)。对两组患者均进行生命体征监测、切口护理、用药指导及饮食护理等常规护理。在此基础上,对综合性护理组患者进行综合性疼痛护理。治护结束后,对比两组患者在术后6 h、12 h和24 h的VAS评分,同时比较其对护理的满意度。结果:与常规护理组患者相比,综合性护理组患者在术后12 h和24 h的VAS评分均较低,其对护理的满意度较高,差异具有统计学意义(P<0.05)。两组患者在术后6 h的VAS评分相比差异无统计学意义(P>0.05)。结论:对接受骨科手术的患者实施综合性疼痛护理可显著减轻其在术后12 h和24 h的疼痛感,提升其对护理的满意度。
Objective: To study the clinical effects of comprehensive pain management in patients undergoing orthopedic surgery. METHODS: Ninety patients undergoing surgical treatment at the Department of Orthopedics, Yongchuan District Hospital of Traditional Chinese Medicine from January 2016 to January 2017 were randomly divided into general nursing group (n = 45) and routine nursing group (n = 45) = 45). Two groups of patients were monitored for vital signs, incision care, medication guidance and diet nursing and other routine care. On this basis, the comprehensive care group of patients with comprehensive pain care. After the end of treatment, the VAS score was compared between the two groups at 6 h, 12 h and 24 h after surgery, and their satisfaction with nursing was compared. Results: The VAS score of patients in general care group at 12 h and 24 h after operation was lower than that of patients in general care group, and their satisfaction with nursing was higher. The difference was statistically significant (P <0.05). There was no significant difference in VAS scores between the two groups at 6 hours after operation (P> 0.05). Conclusion: The comprehensive pain management in patients receiving orthopedic surgery can significantly reduce the pain at 12 h and 24 h after operation, and enhance their satisfaction with nursing.