摘要
目的探讨疼痛管理联合加速康复外科理念在肺癌合并冠心病患者围手术期的应用效果。方法根据干预方式的不同将62例肺癌合并冠心病手术患者分为观察组(n=33)和对照组(n=29),对照组患者围手术期给予常规干预,观察组患者在对照组的基础上给予疼痛管理联合加速康复外科理念。比较两组患者的围手术期指标、疼痛情况[视觉模拟评分法(VAS)]、负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]及术后并发症发生情况。结果观察组患者首次排气时间、首次排便时间、引流管拔除时间、住院时间均短于对照组,术后并发症总发生率低于对照组,差异均有统计学意义(P﹤0.05)。术后1天、3天、1周,两组患者VAS评分均呈下降趋势,且观察组患者VAS评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者HAMA、HAMD评分均低于本组干预前,观察组患者HAMA、HAMD评分均低于对照组,差异均有统计学意义(P﹤0.05)。结论疼痛管理联合加速康复外科理念应用于肺癌合并冠心病患者围手术期,能够减轻术后疼痛、改善负性情绪、降低术后并发症发生率,并且促进患者术后恢复。
Objective To explore the application effect of pain management combined with enhanced recovery after surgery in perioperative period of lung cancer patients complicated with coronary heart disease.Method According to different intervention methods,62 lung cancer patients complicated with coronary heart disease were divided into observa-tion group(n=33)and control group(n=29).Patients in the control group were received routine intervention during peri-operative period,and patients in the observation group were received pain management combined with enhanced recov-ery after surgery on the basis of the control group.The perioperative indicators,pain conditions[visual analogue scale(VAS)],negative emotions[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)]and incidence of post-operative complications were compared between the two groups.Result The first exhaust time,first defecation time,drainage tube removal time and hospitalization time in observation group were shorter than those in control group,the to-tal incidence of postoperative complications was lower than that in control group,and the differences were statistically significant(P<0.05).On the 1 day,3 days and 1 week after surgery,the VAS scores in both groups showed a downward trend,and the VAS scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of HAMA and HAMD in two groups were lower than those before intervention,the scores of HAMA and HAMD in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).Conclusion The application of pain management combined with enhanced recovery after surgery in perioperative period of lung cancer patients complicated with coronary heart dis-ease can alleviate postoperative pain,improve negative emotions,reduce the incidence of postoperative complications,and promote postoperative recovery.
作者
李慧
宫盼盼
赵丽慧
LI Hui;GONG Panpan;ZHAO Lihui(Department of Cardiac Surgery,He’nan Provincial Chest Hospital,Zhengzhou 450000,He’nan,China)
出处
《癌症进展》
2024年第16期1829-1832,共4页
Oncology Progress
关键词
疼痛管理
加速康复外科理念
肺癌合并冠心病
围手术期
pain management
enhanced recovery after surgery
lung cancer complicated with coronary heart dis-ease
perioperative period
