Application analysis of standardized pain management in painless wards during the perioperative period of liver resection patients
无痛病房规范化疼痛管理在肝切除患者围手术期中的应用分析

摘要

目的 分析无痛病房规范化疼痛管理模式在肝切除患者围手术期中的应用效果。方法 选取我院2023年1月至2025年6月期间行肝部分切除术的患者93例，将2024年4月实施无痛病房规范化疼痛管理方案前收治的45例患者纳入对照组，之后收治的48例患者纳入观察组。结果 观察组患者术后8h、24h的静息和活动NRS评分显著低于对照组，术后首次下床活动、肛门排气及住院时间更短，不良反应总发生率更低，对护理的满意度评分更高（P<0.05）。结论 无痛病房规范化疼痛管理能够更有效地控制肝切除患者术后的急性疼痛，加速康复进程。

Abstract

Objective To analyze the application effect of standardized pain management mode in painless wards during the perioperative period of liver resection patients.
Methods 93 patients who underwent partial hepatectomy in our hospital from January 2023 to June 2025 were selected. The 45 patients admitted before the implementation of the standardized pain management plan for painless wards in April 2024 were included in the control group, and the 48 patients admitted afterwards were included in the observation group.
Results The resting and activity NRS scores of patients in the observation group were significantly lower than those in the control group at 8 and 24 hours after surgery. The first time of getting out of bed, anal exhaust, and hospitalization time were shorter, the overall incidence of adverse reactions was lower, and the satisfaction score with nursing was higher (P<0.05).
Conclusion   Standardized pain management in painless wards can more effectively control acute pain in patients undergoing liver resection and accelerate the rehabilitation proces