Objective To study the effect of knee chest position and chest percussion for relieving shoulder pain after gynecological laparoscopic surgery. Methods 150 cases of laparoscopic surgery were randomly divided into observation group of 75 cases and control group of 75 cases. Two groups of patients were all given postoperative oxygen for 6 hours. Patients of control group were taken in the supine or semi supine position for 24 to 48 hours after surgery;and patients of observation group were taken in knee chest position and given chest percussion for three times a day, each time for 10 to 15 minutes. The effects of relieving shoulder pain were observed in the two groups, including shoulder pain incidence, duration of pain and degree of pain. Results Shoulder pain incidence rate in the observation group was 24%, while shoulder pain incidence rate in the control group was 60%, and there was signiifcant difference between two groups, P<0.01;There was no signiifcant difference between the two groups in the duration of pain, P>0.05, but there was significant difference for the degree of pain between the two groups, P<0.05. Conclusion Taking knee chest position and chest percussion after gynecological laparoscopic surgery can effectively reduce the incidence and the degree of shoulder pain in patients.%目的研究膝胸卧位背部叩击对妇科腹腔镜术后患者肩部疼痛的缓解效果。方法将150例腹腔镜术后患者分为观察组75例与对照组75例，两组患者术后均吸氧6 h，对照组术后24～48 h采用平卧位或半卧位；观察组术后24～48 h内每天3次采取膝胸卧位，并行肩背部叩击，每次10～15 min。观察两组术后肩背痛发生率、疼痛持续时间和疼痛程度。结果观察组术后肩背痛的发生率为24%，对照组肩背痛的发生率为60%，两组比较，差异有统计学意义，P＜0.01；在术后发生肩背痛的患者中，疼痛持续时间两组比较差异无统计学意义，P＞0.05，而疼痛程度两组比较差异有统计学意义，P＜0.05。结论采取膝胸卧位肩背部叩击等护理措施，可有效减少腹腔镜术后患者肩背部疼痛的发生率及减轻疼痛程度。
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