标题：呼吸训练对妇科恶性肿瘤患者根治术后疼痛的影响

      作者：周甘雨，黄淼，唐莉贞，张红丹
    (广西壮族自治区民族医院广西医科大学附属民族医院妇科，广西 南宁 530001)

      卷次： 2016年27卷6期

      【摘要】 目的 探讨呼吸训练对妇科恶性肿瘤患者根治术后疼痛的影响。方法 选择2013年7月至2015年
7月笔者所在医院妇科行妇科恶性肿瘤根治术的患者70例，采用随机数字表法分组将70例患者分为干预组和对
照组各35例。对照组和干预组均接受常规基础护理、专科护理、健康指导，在此基础上，干预组再增加呼吸训练，
护士于术前1 d、术后麻药消失后指导患者进行呼吸训练，每天训练3次，时间安排在早上、下午和晚上各一次，每
次训练 30 min。应用视觉模拟评分法分别对两组患者进行疼痛评估，观察两组患者在术后 12 h、24 h、48 h、72 h
的VAS评分。结果 术后 12 h VAS评分对照组为(5.80±0.923)分，干预组为(4.83±1.21)分；术后 24 h VAS评分对
照组为(6.17±0.87)分，干预组为(5.30±0.92)分；术后 48 h VAS评分对照组为(6.47±0.82)分，干预组为(5.7±0.79)
分；术后 72 h VAS评分对照组为(5.27±0.69)分，干预组为(4.57±1.04)分；干预组各时段VAS评分均明显低于对照
组，差异均有统计学意义(P<0.05)。结论 呼吸训练对妇科恶性肿瘤患者根治术后疼痛有一定的缓解作用，值
得临床推广。

      【关键词】 呼吸训练；妇科恶性肿瘤；根治术；疼痛

      【中图分类号】 R473.71 【文献标识码】 A 【文章编号】 1003—6350（2016）06—1027—03


Effect of respiratory rehabilitation training on the pain following radical operation for gynecological malignant
tumor.
ZHOU Gan-yu, HUANG Miao, TANG Li-zhen, ZHANG Hong-dan. Department of Gynaecology, Guangxi National
Hospital, Guangxi Medical University Affiliated National Hospital, Nanning 530001, Guangxi, CHINA

【Abstract】 Objective To investigate the effect of respiratory rehabilitation training on the pain following radi-
cal operation for gynecological malignant tumor. Methods Seventy patients who underwent the radical operation of
gynecological malignant tumor in our hospital from July 2013 to July 2015 were divided into control group and treat-
ment group by a random number table, with 35 cases in each group. Both groups applied conventional basic nursing, spe-
cific nursing, health guidance, while the treatment group received respiratory rehabilitation training in addition. On the
preoperative day and when postoperative anaesthesia disappeared, patients in treatment group should be guided for respi-
ratory rehabilitation training, three times a day (as in the morning, afternoon and evening) and 30 min for each time. Visu-
al analogue scale (VAS) score was observed 12, 24, 48, 72 hours after operation. Results The VAS scores in the control
·护 理·
6350.2016.06.062