射频消融术治疗肝癌30例疼痛护理干预

摘要

Objective:To explore the method and effect of nursing intervention of pain in the treatment of liver cancer patients with ra_diofrequency ablation. Methods:60 liver cancer patients who underwent radiofrequency ablation were randomly divided into the observation group and the control group(30 cases in each group). The patients in the control group were given routine nursing care and conventional analgesic therapy;the patients in the observation group were provided extra nursing intervention of pain. The intervention effect was com_pared between the two groups. Results:The scores of pain in operation,24 and 48 hours after operation were lower in the observation group than the control group(P<0. 05);the rate of using analgesic drugs(first and second step)in operation,24 and 48 hours after operation was lower in the observation group than the control group(P<0. 05);the satisfaction rate was higher in the observation group than the control group(P<0. 05). Conclusion:The nursing intervention of pain can effectively relieve pain of the patients and reduce the use of an_algesic drugs in the treatment of liver cancer patients with radiofrequency ablation.%目的：探讨射频消融术（ RFA）治疗肝癌患者的疼痛护理干预方法及效果。方法：将60例行RFA治疗的肝癌患者随机分为观察组和对照组各30例。对照组给予介入科常规护理，采用凯纷常规镇痛治疗，疼痛评分增加或有爆发痛时遵医嘱应用曲马多、吗啡类药物镇痛；观察组在对照组基础上给予疼痛护理干预。比较两组干预效果。结果：观察组术中、术后24 h、术后48 h疼痛评分低于对照组（ P<0.05），术中至术后24 h一阶梯、二阶梯及术后48 h镇痛药物使用率低于对照组（ P<0.05），满意度高于对照组（ P<0.05）。结论：对行RFA治疗的肝癌患者实施疼痛护理干预，可有效缓解患者疼痛程度，减少镇痛药物使用。