骨科手术患者术后镇痛泵应用风险分析及护理对策

目的研究骨科手术患者术后镇痛泵应用风险分析及护理对策。方法随机数表法将本院2018年4月~2019年4月诊治的60例骨科患者分为研究组与对照组,各30例,研究组患者术后给予镇痛泵镇痛,对照组给予一般镇痛处理。观察两组患者的镇痛效果,比较两组患者的不良反应,并分析其护理对策。结果两组患者术后回科以及术后1h、2hVAS评分比较无明显差异(P>0.05),但研究组患者术后3h、4h、12h、24h、48hVAS评分明显低于对照组(P<0.05);研究组患者尿潴留、压疮、低血压、呼吸抑制的发生率高于对照组,但比较差异无统计学意义(P>0.05),研究组胃肠道反应发生率明显高于对照组(P<0.05)。结论骨科手术患者术后应用镇痛泵镇痛效果好,但仍存在不良反应风险,护理人员应加强护理。

Risk Analysis and Nursing Strategies of Analgesia Pump used After Orthopedic Surgery

Objective To study the risk and nursing strategies of analgesia pump used after orthopedic surgery.Methods 60 orthopedic patients diagnosed and treated in the hospital from April 2018 to April 2019 were divided into the study group and the control group by the random number table method,30 cases in each group.Patients in the study group were given analgesia with analgesia pump while the control group was given general analgesic treatment.The analgesic effects of the two groups were observed,and adverse reactions were compared between the two groups.Nursing strategies were analyzed.Results There was no significant difference inVAS scores between the two groups when returning to the department and at 1 hand 2h after surgery(P>0.05).However,VAS scores of the study group were significantly lower than those of the control group at 3h,4h,12h,24h and 48h after surgery(P<0.05).The incidence rates of urinary retention,pressure sores,hypotension,and respiratory depression were higher in the study group than in the control group(P>0.05).The incidence of gastrointestinal reactions in the study group was significantly higher than that in the control group(P<0.05).Conclusion The analgesic effect of analgesia pump is good in patients undergoing orthopedic surgery,but there is still risk of adverse reactions.Nurses should strengthen nursing.