目的:观察NBASS-APS模式联合中医特色疼痛护理措施对肺癌术后疼痛患者睡眠质量的影响.方法:选取2019年1月～2020年1月本院收治的肺癌患者100例,按照随机数字表法将其均分为观察组(n=50)和对照组(n=50),观察组行NBASS-APS模式联合中医特色疼痛护理干预,对照组行常规疼痛干预.观察两组术后视觉模拟评分(VAS)变化、术后恢复情况及干预前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及匹兹堡睡眠质量指数量表(PSQI)评分.结果:术后7d、术后14d及术后21d,观察组VAS评分较对照组显著降低(P＜0.05),观察组首次下床活动时间、术后住院天数及首次肛门排气时间均较对照组显著缩短(P＜0.05),24h睡眠时间、48h睡眠时间较对照组显著增加(P＜0.05).干预后,观察组SAS、SDS及PSQI均显著优于对照组(P＜0.05).结论:NBASS-APS模式联合中医特色疼痛护理措施能有效改善肺癌术后疼痛患者术后疼痛,促进其术后恢复,改善其不良情绪及睡眠质量.

Objective:To discuss the effects of ventilation support with severe acute organophosphorus pesticide poisoning(AOPP).Mehtods:The retrospective analyse and to summarize 53 in-hospital cases of AOPP saved by trachea intubation,ventilatory support choosing volume control or pressure control added to PEEP,adjusting ventilatory variable parameter by PaO2,PaCO2,PetCO2,clearing poison thoroughly,injecting atropine,sedation and nutrition supporting in our hospital.Results:3 cases died of myocardial ischemia.2 cases gave up treatment.48 cases were cured.Ventilatory support's time is 72～156 hours.average 18 hours.6～15 days in hospital,average master time in hospital is 10.5 days.no complication happened.Conclusion:The ventilatory support is effective to cure the patients with severe acute organophosphorus pesticide poisoning(AOPP)and comprehensive treatment is key.