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对于接受腹腔镜妇科日间手术的女性,在家时需要使用镇痛药吗?

Are analgesics necessary for women at home following laparoscopic gynaecological day surgery?

作者信息

Codd C

出版信息

Nurs Pract. 1991;5(1):8-12. doi: 10.7748/ns.6.8.8.s73.

Abstract

This study sought to discover whether day-surgery patients found it necessary to take analgesics to relieve the pain and discomfort experienced after discharge following gynaecological laparoscopic procedures. Pre-operative anxiety was also assessed as a possible contributory factor to post-operative nausea and headaches. The results showed that 65 per cent of the sample required analgesics post-operatively for up to three days, and a minority for nearly a week. Of those taking analgesics, 50 per cent recorded pain or discomfort in more than one of the four body areas monitored, namely the abdomen, shoulders, back and head. On assessment by anaesthetists, 82 per cent of the sample showed some degree of pre-operative anxiety, but the study was unable to show any obvious link between anxiety and post-operative headaches or nausea.

摘要

本研究旨在探究日间手术患者是否认为有必要服用镇痛药来缓解妇科腹腔镜手术后出院时所经历的疼痛和不适。术前焦虑也被评估为术后恶心和头痛的一个可能促成因素。结果显示,65%的样本术后需要服用镇痛药长达三天,少数人需要服用近一周。在服用镇痛药的患者中,50%在监测的四个身体部位(即腹部、肩部、背部和头部)中的不止一个部位记录到疼痛或不适。经麻醉师评估,82%的样本表现出一定程度的术前焦虑,但该研究未能显示焦虑与术后头痛或恶心之间有任何明显联系。

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