疼痛干预对四肢创伤患者效果研究
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摘要
目的通过对急性四肢创伤患者进行疼痛干预治疗,评估疼痛治疗对于急性四肢创伤患者的疗效。方法选取自2014年4月至2016年4月急诊外科诊治的300例四肢创伤患者为研究对象,将患者分为治疗A组,治疗B组及常规组。治疗A组给予口服洛索洛芬钠片,治疗B组给予肌肉注射地佐辛注射液,常规组给予心理疏导及冰敷物理治疗。记录3组患者治疗前后视觉模拟评分(VAS)、心率等情况。结果治疗后0.5、1.0、3.0 h,治疗A组、治疗B组的VAS评分、心率较常规组明显下降,差异有统计学意义(P<0.05);且治疗B组低于治疗A组,差异有统计学意义(P<0.05)。3组不良反应发生率比较,差异无统计学意义(P>0.05)。结论对急性四肢创伤患者行镇痛药物、心理疏导及冰敷物理治疗均能有效减缓患者疼痛,镇痛药物疗效更为显著,且安全有效。
Objective To evaluate the efficacy of pain therapy in patients with acute limb trauma by pain intervention.Methods A retrospective study was performed on 300 cases of patients with limb trauma who were admitted from April 2014 to April 2016.Patients were divided into the treatment group A,treatment group B and conventional group.Patients in the treatment group A were given oral loxprofen sodium tablets,patients in the treatment group B were given intramuscular injection of dizocine injection,and patients in the conventional group were given psychological counseling and ice compress physical therapy.Visual analogue score(VAS)and heart rate before and after administration were recorded.Results After treatment,VAS score and heart rate at 0.5,1.0 and 3.0 hours were significantly lower in the two treatment groups than those in the conventional group(P<0.05).Effect in treatment group B was more significant than that in treatment group A(P<0.05).There was no significant difference in the incidence of adverse reactions among the three groups(P>0.05).Conclusion Analgesics,psychological counseling and ice compress physical therapy can effectively relieve the pain of patients with acute limb trauma.Analgesics are more effective,safe and effective.
Objective To evaluate the efficacy of pain therapy in patients with acute limb trauma by pain intervention.Methods A retrospective study was performed on 300 cases of patients with limb trauma who were admitted from April 2014 to April 2016.Patients were divided into the treatment group A,treatment group B and conventional group.Patients in the treatment group A were given oral loxprofen sodium tablets,patients in the treatment group B were given intramuscular injection of dizocine injection,and patients in the conventional group were given psychological counseling and ice compress physical therapy.Visual analogue score(VAS)and heart rate before and after administration were recorded.Results After treatment,VAS score and heart rate at 0.5,1.0 and 3.0 hours were significantly lower in the two treatment groups than those in the conventional group(P<0.05).Effect in treatment group B was more significant than that in treatment group A(P<0.05).There was no significant difference in the incidence of adverse reactions among the three groups(P>0.05).Conclusion Analgesics,psychological counseling and ice compress physical therapy can effectively relieve the pain of patients with acute limb trauma.Analgesics are more effective,safe and effective.
引文
[1] 刘萍,陈珏,时华,等.C反应蛋白对骨折患者心理及疼痛护理模式的影响[J].实用临床医药杂志,2018,22(24):128-132.
[2] Friedman BW,O′Mahony S,Mulvey L,et al.One-week and 3-month outcomes after an emergency department visit for undifferentiated musculoskeletal low back pain[J].Ann Emerg Med,2012,59(2):128-133.
[3] 席惠君,周潘宇.急性下肢创伤患者的规范化疼痛管理[J].中华损伤与修复杂志,2011,6(4):629-632.
[4] 王智康,潘维诚,刘樾,等.地佐辛在重度烧伤患者换药中的应用[J].实用临床医药杂志,2018,22(17):102-103,107.
[5] Brown JC,Klein EJ,Lewis CW,et al.Emergency department analgesia for fracture pain[J].Ann Emerg Med,2003,42(2):197-205.
[6] 刘林,许勤,刘梅.规范化疼痛干预对骨科术后疼痛的临床效果观察[J].护理进修杂志,2012,27(23):2181-2183.
[7] 郭玲,傅育红,丁昊.前臂离断再植患者创伤后应激障碍的心理干预[J].实用临床医药杂志,2018,22(18):73-76.
[8] 孙勇,彭放,杨彪,等.外伤导致急性心肌梗死7例临床分析[J].中华急诊医学杂志,2015,24(4):442-444.
[9] MaEachin CC,McDermott JT,Swor B.Few emergency medical services patients with lower-extremity fractures reseive prehospital analgesia[J].Prehosp Emerg Care,2002,6(4):406-410.
[10] 陆劲松,刘励军,熊玉宝,等.苏州地区急诊创伤镇痛治疗现状的调查[J].中国急救医学,2008,8(28):715-717.
[11] 曹建国,杭燕南.镇痛药物的相互作用和联合应用[J].实用疼痛学杂志,2007,3(3):218-222.
[12] 耿立成,李丽.地佐辛药理及临床应用新进展[J].医学综述,2012,18(23):4029-4031.
[13] 李慎占,董河.地佐辛的临床应用研究[J].医学综述,2012,18(23):4021-4023.
[14] Vane JR,Booting RM.Mechanism of acting of nonsteriodal anti-inflammatory drugs [J].Am J Med,1998,104(3A):2.
[15] Singh G,Rosen D.NSAID-induced gastrointestinal complications[J].The Aramis Perspective,1997,25(suppl 51):8.
[16] 刘俊,徐越峰.地佐辛用于瑞芬太尼静脉麻醉术后痛觉过敏观察[J].中国医疗前沿,2009,4(1):15-16.
[17] 宋斌,李晨.地佐辛在胸部创伤早期镇痛中的应用[J].中国医药,2013,8(10):1430-1432.
[18] 廖金平,董德胜.急诊科早期镇痛在严重多发伤中的疗效观察[J].中国医药,2014,9(5):691-693.
[19] 董翠珍,程云,孙丽萍,等.冰敷对胫骨平台骨折术后病人出血及肿胀的影响[J].护理研究,2014,28(7):850-851.
[20] 刘岩,赫子懿,顾珊菱,等.新型冰敷套在四肢骨折患者中的应用效果[J].中国老年学杂志,2015,9(35):4948-4949.
[2] Friedman BW,O′Mahony S,Mulvey L,et al.One-week and 3-month outcomes after an emergency department visit for undifferentiated musculoskeletal low back pain[J].Ann Emerg Med,2012,59(2):128-133.
[3] 席惠君,周潘宇.急性下肢创伤患者的规范化疼痛管理[J].中华损伤与修复杂志,2011,6(4):629-632.
[4] 王智康,潘维诚,刘樾,等.地佐辛在重度烧伤患者换药中的应用[J].实用临床医药杂志,2018,22(17):102-103,107.
[5] Brown JC,Klein EJ,Lewis CW,et al.Emergency department analgesia for fracture pain[J].Ann Emerg Med,2003,42(2):197-205.
[6] 刘林,许勤,刘梅.规范化疼痛干预对骨科术后疼痛的临床效果观察[J].护理进修杂志,2012,27(23):2181-2183.
[7] 郭玲,傅育红,丁昊.前臂离断再植患者创伤后应激障碍的心理干预[J].实用临床医药杂志,2018,22(18):73-76.
[8] 孙勇,彭放,杨彪,等.外伤导致急性心肌梗死7例临床分析[J].中华急诊医学杂志,2015,24(4):442-444.
[9] MaEachin CC,McDermott JT,Swor B.Few emergency medical services patients with lower-extremity fractures reseive prehospital analgesia[J].Prehosp Emerg Care,2002,6(4):406-410.
[10] 陆劲松,刘励军,熊玉宝,等.苏州地区急诊创伤镇痛治疗现状的调查[J].中国急救医学,2008,8(28):715-717.
[11] 曹建国,杭燕南.镇痛药物的相互作用和联合应用[J].实用疼痛学杂志,2007,3(3):218-222.
[12] 耿立成,李丽.地佐辛药理及临床应用新进展[J].医学综述,2012,18(23):4029-4031.
[13] 李慎占,董河.地佐辛的临床应用研究[J].医学综述,2012,18(23):4021-4023.
[14] Vane JR,Booting RM.Mechanism of acting of nonsteriodal anti-inflammatory drugs [J].Am J Med,1998,104(3A):2.
[15] Singh G,Rosen D.NSAID-induced gastrointestinal complications[J].The Aramis Perspective,1997,25(suppl 51):8.
[16] 刘俊,徐越峰.地佐辛用于瑞芬太尼静脉麻醉术后痛觉过敏观察[J].中国医疗前沿,2009,4(1):15-16.
[17] 宋斌,李晨.地佐辛在胸部创伤早期镇痛中的应用[J].中国医药,2013,8(10):1430-1432.
[18] 廖金平,董德胜.急诊科早期镇痛在严重多发伤中的疗效观察[J].中国医药,2014,9(5):691-693.
[19] 董翠珍,程云,孙丽萍,等.冰敷对胫骨平台骨折术后病人出血及肿胀的影响[J].护理研究,2014,28(7):850-851.
[20] 刘岩,赫子懿,顾珊菱,等.新型冰敷套在四肢骨折患者中的应用效果[J].中国老年学杂志,2015,9(35):4948-4949.