西安交通大学第一附属医院(东院)肝胆外科 陕西西安
*通讯作者:
房苗苗,单位:西安交通大学第一附属医院(东院)肝胆外科 陕西西安 ;
摘要
目的 研究分析肝胆外科术后疼痛的患者临床护理要点。方法 研究对象为2025年1月至2026年1月期间接受肝胆外科手术的80例患者,随机分为对照组及观察组。对照组采取一般性护理,观察组加入疼痛管理,对比两组的疼痛程度、疼痛持续时间以及护理满意度。结果 观察组的疼痛视觉模拟量表(VAS)得分低于对照组;持续时间短于对照组(P<0.05);观察组和对照组的护理满意度分别为97.25%及75.00%,数据差异具有统计学意义(P<0.05)。结论 肝胆外科手术后患者疼痛干扰其康复进程,在常规护理基础上强调疼痛管理能够明显缓解疼痛程度,值得推荐使用。
关键词: 肝胆外科手术;术后疼痛;疼痛管理;VAS;护理满意度
Abstract
Objective To study and analyze the clinical nursing points of patients with postoperative pain in hepatobiliary surgery. Methods The study subjects were 80 patients who underwent hepatobiliary surgery from January 2025 to January 2026, and were randomly divided into a control group and an observation group. The control group received general nursing care, while the observation group received pain management. The degree of pain, duration of pain, and nursing satisfaction were compared between the two groups. Results The pain visual analog scale (VAS) scores of the observation group were lower than those of the control group; The duration was shorter than that of the control group (P<0.05); The nursing satisfaction rates of the observation group and the control group were 97.25% and 75.00%, respectively, and the data difference was statistically significant (P<0.05). Conclusion Pain in patients after hepatobiliary surgery interferes with their recovery process. Emphasizing pain management on the basis of routine nursing can significantly alleviate the degree of pain and is recommended for use.
Key words: Hepatobiliary surgery; Postoperative pain; Pain management; VAS; Nursing satisfaction
参考文献 References
[1] 何琴.术后镇痛护理对开腹肝胆外科患者术后舒适度的影响[J].健康必读,2019,(17):2-3.
[2] 代艳华.肝胆外科患者手术疼痛的护理[J].中国医药指南,2017,15(02):234-235.
[3] 高颜,陈富丽.肝胆外科手术后患者疼痛情况的临床护理心得与体会[J].临床医药文献电子杂志,2017,4(54):10572-10573.
[4] 邵帆.肝胆外科手术患者应用快速康复外科护理的效果[J].中国城乡企业卫生,2025,40(1):145-147.
[5] 姚文红,姜学英. 肝胆外科手术患者术后应用快速康复护理的探讨[J]. 药店周刊,2021,30(47):154-155.
[6] 王莉,周宁宁,汤桂芳,金艾香.虚拟现实疼痛控制管理平台在肝胆外科术后患者中的应用[J].中国护理管理,2020, 20(11):1704-1707.
[7] 李琼,黄文娟,蔡丹霞.舒适护理模式在肝胆外科患者术后疼痛中的应用效果[J].中国临床护理,2018,10(4):314-316.
[8] 庞志红,张忠晓,胡倩,王晓玲.疼痛管理结合康复护理在结石性胆囊炎患者胆囊切除术围手术期的应用效果[J].河南医学研究,2025,34(12):2281-2284.