目的:观察体位干预配合呼吸训练缓解腹腔镜胆囊切除术(LC)后颈肩疼痛的效果.方法:选择LC术后患者100例,随机分为观察组与对照组,各50例.2组术后均常规吸氧3 h,氧流量3 L/min.对照组采用传统去枕平卧位,出现颈肩疼痛时协助其早期下床活动锻炼;观察组术后回病室6 h内采用低半卧位,患者出现颈肩疼痛时指导其进行深呼吸、缩唇呼吸.观察2组LC术后颈肩疼痛发生率和疼痛程度.结果:观察组患者术后颈肩疼痛发生率为10.0%,明显低于对照组的34.0%(P<0.01);观察组患者术后6、12、24、48、72 h疼痛视觉模拟评分均明显低于对照组(P<0.01).结论:LC术后早期采用低半卧位配合呼吸训练可降低LC术后颈肩疼痛的发生率,缓解颈肩疼痛的程度.%Objective: To investigate the effects of treatment for neck shoulder pain with position intervention combined with respiratory training after laparoscopic cholecystectomy ( LC). Methods: One hundred cases with LC were randomly divided into experimental group and control group. Two groups were treated with routinely conventional oxygen 3 hours by 3 L/min oxygen flow. The experimental group were adopted semi-reclining position within 6 hours, who took deep breath at the time of neck shoulder pain, while the control group were adopted horizontal position without pillow, who exercised as early as possible at the time of neck shoulder pain. The incidences and degree of neck shoulder pain of two groups were observed after LC. Results: The incidences of neck shoulder pain of the experimental group ( 10. 0% ) were lower than that of the control group ( 34. 0% ) ( P < 0. 01 ). The visual analogue scale of experimental group was lower than that of control group at 6,12,24,48 and 72 hours after LC(P <0. 01) . Conclusions: Modified semi-reclining position combined with respiratory training can reduce and relieved the incidence and degree of neck shoulder pain.
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