摘要目的:探讨在骨科无痛病房中应用香薰疗法对骨科术后患者疼痛和焦虑的影响。方法:采用整体抽样法，选择2018年3月—2019年3月杭州市第一人民医院骨科手术患者520例，随机分为对照组和观察组各260例。两组患者术后均入住无痛病房，对照组采用无痛病房常规护理，观察组在此基础上实施香薰疗法。比较两组患者术后1、3、7d疼痛评分（VAS）和焦虑评分（SAS）。结果:术后随时间延长两组患者VAS和SAS评分均呈下降趋势，且观察组术后1、3、7d VAS和SAS评分低于对照组，差异均有统计学意义（ P<0.05）。 结论:在骨科无痛病房中应用香薰疗法能够进一步减轻骨科患者术后疼痛和焦虑程度，促进术后快速康复。

abstractsObjective:To explore the effect of application of painless wards in Department of Orthopedics on pain and anxiety of patients after orthopedic surgery.Methods:According to overall sampling method, 520 patients who underwent orthopedic surgery in Affiliated Hangzhou First People's Hospital to Zhejiang University School of Medicine from March 2018 to March 2019 were selected and they were randomly divided into the control group and the observation group, with 260 cases in each group. Patients in both groups were admitted to the painless ward after surgery. The control group was given routine nursing in the painless ward while the observation group was given aromatherapy on this basis. The Visual Analogue Scale (VAS) score and Self-rating Anxiety Scale (SAS) score on day 1, 3, and 7 after surgery were compared between the two groups.Results:VAS and SAS scores of the two groups showed a decreasing trend with time after surgery, and VAS and SAS scores of the observation group on day 1, 3 and 7 after surgery were lower than those of the control group. The differences were statistically significant ( P<0.05) . Conclusions:Application of aromatherapy in painless wards in Department of Orthopedics can furtherly reduce the degree of postoperative pain and anxiety of orthopedic patients and promote the rapid postoperative rehabilitation.