腹腔镜操联合体位疗法缓解腹腔镜术后非切口疼痛的疗效观察

目的:探讨腹腔镜操联合体位疗法缓解腹腔镜术后非切口疼痛的临床疗效。方法:本研究为临床干预研究。研究对象为广东省第二中医院妇科2019年7月至2021年7月完成腹腔镜手术后出现非切口疼痛的患者，共90例，按随机数字表法分为3组，对照组、观察1组、观察2组，每组30例。对照组年龄（34.36±4.25）岁，观察1组年龄（3...

Effect of laparoscopic exercise combined with body position therapy in relieving non-incision pain after laparoscopic surgery

Objective　To investigate the clinical effect of laparoscopic exercise combinedwith body position therapy in relieving non-incision pain after laparoscopicsurgery. Methods　This was a clinicalintervention study. The subjects were 90 patients who completed laparoscopicsurgery in Department of Gynecology, Guangdong Second Traditional ChineseMedicine Hospital from July 2019 to July 2021. The 90 patients withnon-incision pain after laparoscopic surgery were divided into a control group,an observation group 1, and an observation group 2 by the random number talbemethod, with 30 cases in each group. The control group was (34.36±4.25) yearsold, the observation group 1 was (35.41±3.26) years old, and the observationgroup 2 was (34.48±3.56) years old. The control group was routinely givendietary guidance, exercise guidance, psychological care, etc.; the observationgroup 1 took knee-chest lying position on the basis of the control group; andthe observation group 2 did laparoscopic exercise under instruction on thebasis of observation group 1. The differences in pain score, pain duration, andnursing satisfaction after non-incision pain intervention after laparoscopicsurgery were compared between the three groups. ANOVA , χ² ,and rank sum test were applied. Results　There were statistical differences in the pain scores 6, 24, and 48 hafter the intervention between the 3 groups (F=26.824, 28.577, and 43.037; all P<0.001). There were statistical differences in the painduration between the control group and the observation group 1 (χ²=7.460, P=0.024), between the observation group1 and the observation group 1 (χ²=0.543, P=0.762), and between the controlgroup and the observation group 2 (χ²=11.416, P=0.003). The nursing satisfactionwas 90.0% (27/30) in the control group, 96.7% (29/30) in the observation group1, and 100.0% (30/30) in the observation group 2, with statistical differencesbetween the control group and the observation group 1 (Z=-2.065, P=0.039) andbetween the observation group 1 and the observation group 2 (Z=-2.051, P=0.040). Conclusions　Laparoscopic exercisecombined with body position therapy can significantly relieve non-incision painafter laparoscopic surgery, shorten the duration of pain, and improve patients'nursing satisfaction. The operation is simple, costs no money, and has no sideeffects, so it is worthy of widespread clinical application and promotion.