肺癌术后药物联合心理干预的镇痛效果分析
Analysis of analgesic effect of combined psychological intervention after lung cancer operation
朱斯敏1
作者信息
- 1. 浙江省舟山医院 胸心外科,浙江 舟山 316000
- 折叠
摘要
目的 研究分析肺癌术后药物联合心理干预的镇痛效果对比.方法 选取浙江省舟山医院收治的80例进行肺癌手术患者为研究对象.对照组术后给予50 mg氟比洛分酯+10 mL生理盐水,静推,进行常规护理措施.实验组在此基础上给予心理干预措施,关注患者心理状态变化,积极与患者进行交流和沟通,消除患者疑惑,增加患者治疗信心,缓解心理压力.比较分析实验组与对照组患者的VAS评分与不良反应发生情况.结果 经过对应的治疗后,术后2 h,对照组VAS评分为(3.45±0.90)分显著高于实验组VAS评分(1.76±0.86),对照组术后4 h与术后8 h评分分别为(4.69±1.10)与(5.20±1.22)分显著高于实验组,均具有统计学意义(P<0.05).对照组中,2例发生恶心,1例头晕,1例呕吐,1例呼吸抑制,2组患者不良反应发生率分为12.5%与10.0%,差异无统计学意义.结论 肺癌术后药物联合心理干预能够显著提高镇痛效果,降低患者疼痛感,安全性较高,具有临床应用意义.
Abstract
Objective To study and compare the analgesic effect of combined psychological intervention after lung cancer operation. Methods 80 patients with lung cancer treated in our hospital were selected as the subjects. The control group was given 50 mg flurbiprofen ester + 10 mL saline, intravenous injection, routine nursing measures. The experimental group was given psychological intervention on this basis, pay attention to the change of the patient's psychological state, communicate with the patient actively, dispel the patients' doubts, increase the confidence of the patients and relieve the psychological pressure. The VAS score and adverse reactions of the experimental group and the control group were compared and analyzed.Results After the treatment, 2 h after operation, the VAS score of control group was (3.45 ± 0.90) was significantly higher than the experimental group VAS score (1.76 ± 0.86), the control group 4h after surgery and postoperative 8 h scores were (4.69 ± 1.10) and (5.20 ± 1.22) was significantly higher than the experimental group, were statistically significant (P<0.05). In the control group, 2cases of nausea, 1 cases of dizziness, 1 case of vomiting, 1 cases of respiratory depression, the incidence of adverse reactions in the two groups were 12.5 % and 10%, there was no statistical difference. Conclusion The combination of drugs and psychological intervention after lung cancer operation can significantly improve the analgesic effect, reduce the pain and safety of patients, and has clinical significance.
关键词
肺癌/药物治疗/心理干预/镇痛效果Key words
lung cancer/drug treatment/psychological intervention/analgesic effect引用本文复制引用
基金项目
舟山市卫计局医药卫生科技攻关项目(2015G06)
出版年
2017
NETL
NSTL
维普
万方数据