目的 研究超前镇痛在肺癌患者术后呼吸道护理中的作用效果.方法 将68例肺癌术后患者根据住院号的奇偶性分为对照组32例和实验组36例,对照组实施常规疼痛评估及护理,实验组实施超前疼痛评估及护理,比较两组患者肺部体疗操作结束时疼痛评分和咳嗽排痰的效果.结果 与对照组比较,实验组在肺部体疗操作结束时疼痛评分明显低于对照组[(2.7±0.2)分vs (3.5±0.3)分,P＜0.05],且有效咳嗽排痰例数明显高于对照组(20 vs 9).结论 实施超前镇痛在减轻患者术后痛苦的同时,促进了患者的有效排痰,减少了术后肺部并发症.%Objective To investigate the effect of preemptive analgesia on the postoperative respiratory care of patients with lung cancer. Methods Sixty-eight patients with lung cancer were allocated into two groups according to the parity of admission numbers: the control group (n=32) and the study group (n=36). The control group was given normal assessment of pain and nursing care, while the study group was given preemptive analgesia for postoperative pain. The degree of pain and the presence of productive cough after pulmonary physical therapy were compared between the two groups. Results Compared with the patients in the control group, patients in the study group had significantly lower pain scores after pulmonary physical therapy [(2.7±0.2) vs (3.5=:0.3), P<0.05]. The presence of productive cough (which facilitates expectoration) were significantly higher in the study group (20 vs 9, P<0.05). Conclusion The application of preemptive analgesia can not only significantly alleviate the postoperative pain, but can also promote effective expectoration in patients with lung cancer.
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