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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2024年1期

页码:

161-164

栏目:

出版日期:

2024-01-10

文章信息/Info

Title:

Evaluation of Postoperative Pain and Nursing Emphasis in Young Children with Cleft Lip and Palate

文章编号:

1008-6455(2024)01-0161-04

作者:

权会利; 刘富伟; 吕 敏; 沈 甜; 史茜雯; 朱思敏; 马天源; 张浚睿

(口颌系统重建与再生全国重点实验室 国家口腔疾病临床医学研究中心 陕西省口腔疾病临床医学研究中心 空军军医大学 第三附属口腔医院口腔颌面外科 陕西 西安 710032 )

Author(s):

QUAN Huili; LIU Fuwei; LYU Min; SHEN Tian; SHI Qianwen; ZHU Simin; MA Tianyuan; ZHANG Junrui

(State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration,National Clinical Research Center for Oral Diseases,Shaanxi Clinical Research Center for Oral Diseases,Department of Oral and Maxillofacial Surgery,the Third Hospital Affi liated of Air Force Military Medical University,Xi’an 710032,Shaanxi,China)

关键词:

唇腭裂; 修复; 低龄患儿; 镇痛; 术后护理; 哭闹

Keywords:

cleft lip and palate;  repair;  young children;  analgesia;  postoperative care;  crying

分类号:

R473.78

文献标志码:

A

摘要:

目的：探讨如何便捷识别3岁以下低龄唇腭裂患儿术后疼痛情况并进行针对性护理。方法：选取2020年5月-2022年 5 月笔者医院收治的2.5个月～3岁低龄唇腭裂患儿134例，结合FLACC疼痛评估量表与家长主观问卷评分，对低龄患儿术后 疼痛情况进行研究。结果：依据术后6 h内哭闹次数将患儿归为四组：第1组（0～3次），第2组（4～6次），第3组（7～10 次），第4组（10次以上）。依据FLACC疼痛评估量表评分，第1～3组疼痛程度递增，但第4组与第1组疼痛程度接近，均较 低，认为第4组患儿具有不安恐惧等不良情绪。术后24 h睡眠时间，第1组（8.43±2.88）h、第2组（10.15±3.41）h、第3 组（10.42±2.97）h均相近，并显著高于第4组（6.67±1.67），与第4组患儿存在不良情绪相一致；在睡眠质量评分上，除 第4组（2.17±0.83）分外，第1组（1.71±0.95）分也处于较低水平，体现出第1组虽然疼痛程度较轻哭闹次数少，但也可 能存在心理情绪问题，需要关注。结论：本研究提出针对0～3岁低龄唇腭裂患儿术后依据哭闹次数来辨别疼痛及护理问题的 便捷归类方法，归纳了不同分组患儿护理侧重点，针对第1、4组患儿，术后护理中的情绪安抚与疏导尤为关键，针对第2、3 组患儿术后疼痛显著，应加强术后镇痛，为制定针对性围手术期镇痛护理方案提供了新思路。

Abstract:

Objective This paper aims to explore how to easily identify postoperative pain in children with cleft lip and palate under 3 years old and conduct targeted nursing. Methods A total of 134 children with cleft lip and palate aged 2.5 months to 3 years in the author’s hospital from May 2020 to May 2022 were selected to study the postoperative pain of the children combined with FLACC pain assessment scale and subjective questionnaire scores of parents. Results According to the number of cries within 6 hours after surgery,the children were conveniently divided into 4 groups: Group 1 (0-3 times),Group 2 (4-6 times),Group 3 (7-10 times),and Group 4 (more than 10 times).According to the FLACC pain assessment scale,the pain degree of the fi rst to third group increased,but the pain degree of the fourth group and the fi rst group was close to low. It was considered that the fourth group of children had anxiety,fear,and other adverse emotions. The sleep time 24 hours after surgery was similar in Group 1 (8.43±2. 88)h,Group 2 (10.15±3.41) h,and Group 3 (10.42±2.97) h,and was signifi cantly higher than that in Group 4 (6.67±1.67) h,which was consistent with the adverse mood in Group 4. In terms of sleep quality,except for Group 4 (2.17±0.83),Group 1 (1.71±0.95) was also at a low level,indicating that although Group 1 had less pain and cried less,it might also have psychological and emotional problems that needed attention. Conclusion This study proposes a convenient classifi cation method for identifying postoperative pain and nursing problems according to the number of crying in children with cleft lip and palate aged 0 to 3 years. It summarizes the key points of nursing for children in diff erent groups. For children in groups 1 and 4, emotional comfort and guidance in postoperative nursing are particularly key. It provides a new idea for the development of targeted perioperative analgesic nursing programs.

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更新日期/Last Update: 2024-02-04