摘要
目的 探讨规范化疼痛管理在自发性蛛网膜下腔出血患者中的应用效果.方法 选取2017年1-7月收治的64例自发性蛛网膜下腔出血患者为对照组,实施常规的镇痛治疗和护理;选取2017年8月-2018年3月收治的64例自发性蛛网膜下腔出血患者为干预组,实施规范化的疼痛管理.结果 对照组干预后疼痛评分为(7.63±0.69)分,高于干预组的(5.28±0.63)分,差异有统计学意义(P<0.01).2组患者出院时疼痛满意度调查结果比较有显著差异(P<0.05).对照组住院时间为(10.08±1.65)d,并发症发生率为10.37%;干预组住院时间为(9.29±1.73)d,并发症发生率为8.96%.2组住院时间及并发症发生率比较,差异有统计学意义(P<0.01).结论 对自发性蛛网膜下腔出血伴头痛患者实施规范化的疼痛管理,可有效缓解患者疼痛,降低并发症发生率,缩短住院时间,提高患者满意度.
Objective To explore the effect of standardized pain management in patients with spontaneous subarachnoid hemorrhage.Methods Totally 64 patients with spontaneous subarachnoid hemorrhage from January to July 2017 were selected as control group,and routine analgesic treatment and nursing were carried out.Another 64 patients with spontaneous subarachnoid hemorrhage from August 2017 to March 2018 were selected as intervention group,and standardized pain management was implemented.Results After intervention,the pain score of the control group was(7.63±0.69)points,which was significantly higher than(5.28±0.63)points of the intervention group(P<0.01).There was a significant difference in pain satisfaction degree between the two groups at hospital discharge(P<0.05).The hospitalization time of the control group was(10.08±1.65)days,and the incidence rate of complications was 10.37%.The hospitalization time of the intervention group was(9.29±1.73)days,and the incidence rate of complications was 8.96%.There were significant differences in hospitalization time and incidence rate of complications between the two groups(P<0.01).Conclusion Standardized pain management for patients with spontaneous subarachnoid hemorrhage complicated with headache can effectively relieve pain,reduce the incidence rate of complications,shorten hospitalization time and increase patient′s satisfaction degree.
作者
吴明琴
张骆骆
刘国萍
WU Mingqin;ZHANG Luoluo;LIU Guoping(Department of Neurosurgery,Brain Hospital Affiliated to Nanjing Medical University,Nanjing,Jiangsu,210029)
出处
《实用临床医药杂志》
CAS
2019年第20期120-122,125,共4页
Journal of Clinical Medicine in Practice
基金
江苏省南京市卫计委课题(YKK16149)
关键词
疼痛管理
自发性蛛网膜下腔出血
规范化
住院时间
并发症
满意度
pain management
spontaneous subarachnoid hemorrhage
standardization
hospital stay
complications
satisfaction degree
作者简介
通信作者:张骆骆,E-mail:634579028@qq.com。
