【摘要】 目的探讨多模式镇痛联合心理护理在妇科腹腔手术患者中的应用效果。方法选取本院2018年1月～2020年6月收治的60例妇科腹腔手术患者为对象,按照随机数字表法将患者分成参照组(n=30)和研究组(n=30)。参照组用常规麻醉与护理,研究组用多模式镇痛联合心理护理。比较两组术后不同时间点的疼痛程度和围手术治疗指标。结果研究组术后2 h、4 h、12 h和24 h的视觉模拟量表(VAS)评分低于参照组,肛门排气时间和术后首次下床时间短于参照组,焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分低于参照组(P<0.05)。结论多模式镇痛联合心理护理在妇科腹腔手术患者中的应用效果显著,能减轻患者的术后疼痛感,稳定患者的心理状态,加快患者的病情康复。更多还原

【Abstract】 Objective To explore the application effect of multi-modal analgesia combined with psychological nursing in gynecological abdominal surgery patients. Methods A total of 60 gynecological abdominal surgery patients admitted to our hospital from January 2018 to June 2020 were selected as subjects, and the patients were divided into a reference group(n=30) and a study group(n=30) according to the random number table method. The reference group used conventional anesthesia and nursing, and the study group used multimodal analgesia combined with psychological nursing. The pain degree and perioperative treatment indexes at different time points after operation were compared between the two groups. Results The visual analogue scale(VAS) score of the study group at 2 h, 4 h, 12 h, and 24 h after operation were lower than those of the reference group. The time of anal exhaust and the first time to get out of bed after surgery were shorter than those of the reference group. The self-rating anxiety scale(SAS) score and self-rating depressive scale(SDS) score were lower than those of the reference group(P<0.05). Conclusion Multimodal analgesia combined with psychological care has a significant application effect in gynecological abdominal surgery patients, which can significantly reduce the postoperative pain of the patient, stabilize the patient’s mental state, promote the patient’s physical and mental state as soon as possible, and accelerate the patient’s recovery.更多还原