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目的观察护理干预对行腹腔镜术患者术后肩背疼痛的缓解效果。方法随机抽取2016年6月至9月在我院接受腹腔镜手术治疗的60例患者为研究对象,对每位患者按入院顺序进行编号,单号为对照组,双号为干预组,每组30例。对照组患者术后接受常规护理措施,干预组患者在对照组常规护理基础上进行呼吸锻炼联合肩背部按摩等护理干预。对比两组患者手术后的肩背疼痛评分和护理总有效率。结果干预组患者手术后24、48 h VAS疼痛评分低于对照组(P<0.05),护理总有效率高于对照组,差异有统计学意义(P<0.05)。结论对腹腔镜术后患者实施护理干预可缓解患者术后肩背疼痛,可提高护理总有效率,明显减轻患者的不适,值得临床推广。
Objective To observe the effect of nursing intervention on postoperative shoulder pain in patients undergoing laparoscopic surgery. Methods Sixty patients who underwent laparoscopic surgery in our hospital from June to September 2016 were randomly selected as the study subjects. Each patient was numbered according to admission order, with the single number as the control group and the double number as the intervention group. Each group 30 cases. Patients in the control group received routine nursing measures after operation. Patients in the intervention group received nursing interventions such as respiratory exercise combined with shoulder and back massage on the basis of conventional nursing in the control group. The postoperative shoulder pain scores and total effective care were compared between the two groups. Results The score of VAS pain in intervention group was lower than that of control group 24 h and 48 h after operation (P <0.05), and the total effective rate of nursing was higher than that of control group (P <0.05). Conclusion Nursing intervention in patients after laparoscopic surgery can relieve shoulder pain in patients after operation, which can improve the total effective rate of nursing and obviously relieve the discomfort of patients. It is worthy of clinical promotion.