疼痛干预对皮瓣移植修复术患者围手术期的影响
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摘要
目的探讨疼痛干预对皮瓣移植修复术患者围手术期的效果影响。方法选取2016年4月～2017年10月在本科室接受皮瓣移植修复术治疗的100例患者,按照随机数字表法将其分为研究组和对照组2组。给予对照组患者常规的镇痛治疗,给予研究组患者疼痛干预治疗。对比2组患者的治疗效果、疼痛视觉模拟评分(Visual Analogue Scale,VAS)以及皮瓣及血管痉挛情况,包括血流速度、皮瓣张力、皮瓣温度等。结果治疗有效率方面,研究组患者明显高于对照组患者(P<0.05);对患者治疗前后进行疼痛评分,研究组患者治疗后的评分情况明显优于对照组患者(P<0.05);皮瓣及血管痉挛情况方面,研究组患者的情况明显优于对照组患者(P<0.05)。结论在皮瓣移植修复患者围手术期的临床干预中,疼痛干预能够保证患者的治疗效果,减轻患者的痛苦,值得在临床上进一步推广应用。
Objective to explore the effect of pain intervention on the perioperative period of patients with skin flap transplantation.Methods 100 patients with skin flap transplantation were selected from April 2016 to October 2017 in this hospital,and were divided into two groups:the study group and the control group according to the random number table method.Among them,routine nursing intervention was given to the control group,and pain intervention was given to the study group.The treatment effect,pain VAS score,flap and vasospasm were compared between the two groups,including blood flow velocity,flap tension,skin flap temperature,etc.Results the patients in the study group were significantly higher than those in the control group(P<0.05).The score of pain before and after treatment was significantly better than that in the control group(P<0.05).In the case of flaps and vasospasm,the patients in the study group were significantly better than those in the control group(P<0.05).Conclusion in the clinical intervention of the perioperative period of patients with skin flap transplantation,the pain intervention can guarantee the therapeutic effect of the patients and alleviate the pain of the patients,which is worthy of further application in clinical practice.
Objective to explore the effect of pain intervention on the perioperative period of patients with skin flap transplantation.Methods 100 patients with skin flap transplantation were selected from April 2016 to October 2017 in this hospital,and were divided into two groups:the study group and the control group according to the random number table method.Among them,routine nursing intervention was given to the control group,and pain intervention was given to the study group.The treatment effect,pain VAS score,flap and vasospasm were compared between the two groups,including blood flow velocity,flap tension,skin flap temperature,etc.Results the patients in the study group were significantly higher than those in the control group(P<0.05).The score of pain before and after treatment was significantly better than that in the control group(P<0.05).In the case of flaps and vasospasm,the patients in the study group were significantly better than those in the control group(P<0.05).Conclusion in the clinical intervention of the perioperative period of patients with skin flap transplantation,the pain intervention can guarantee the therapeutic effect of the patients and alleviate the pain of the patients,which is worthy of further application in clinical practice.
引文
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[12] 赵存芳,胡志雯.前臂游离皮瓣修复口腔颌面部肿瘤术后缺损围术期护理干预及临床效果[J].湖南中医药大学学报,2016,35(a02):1143-1143.
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[2] Hosseini S R,Imani F,Shayanpour G,et al.The effect of nephrostomy tract infiltration of ketamine on postoperative pain and peak expiratory flow rate in patients undergoing tubeless percutaneous nephrolithotomy:a prospective randomized clinical trial[J].Urolithiasis,2017,23(8):1-5.
[3] 王冬冬,马婷婷,黄凯.右美托咪啶复合舒芬太尼对游离皮瓣移植术后镇痛效果及血管危象的影响[J].中国医师进修杂志,2017,40(1):59-62.
[4] 李东丽,袁静,许萍,等.围术期心理干预联合背景音乐疗法对剖宫产患者疼痛、焦虑及血压、心率的影响[J].河北医药,2016,23(1):150-152.
[5] 刘梅,滕敬华.围手术期护理干预对乳腺癌改良根治术患者情绪及疼痛影响[J].现代中西医结合杂志,2017,26(2):223-225.
[6] 徐晓燕,董凯旋,徐永清,等.围手术期心理护理对穿支皮瓣移植术的影响[J].西南国防医药,2015,25(7):789-791.
[7] 王洁.预扩张胸三角穿支皮瓣修复面部瘢痕的护理[J].护理研究,2016,30(30):3834-3836.
[8] 张弦,林芝,周飞亚.游离足趾移植联合皮瓣移植手指再造患者的围手术期护理[J].护士进修杂志,2016,31(18):1676-1677.
[9] Fernandes S,Carvalho A F,Rodrigues A J,et al.Day and night surgery:is there any influence in the patient postoperative period of urgent colorectal intervention[J].International Journal of Colorectal Disease,2016,31(3):525-533.
[10] 吕月平,乔悾,周爱萍,等.综合性护理在第二掌背动脉皮瓣并髂骨移植修复拇指组织缺损伴神经损伤患者围术期护理中的应用[J].护理研究,2016,30(36):4555-4557.
[11] 邱金兰,施丽娇.多模式镇痛与镇静舒适化护理用于体外碎石术患者的临床评价[J].当代护士(下旬刊),2018,6:82-84.
[12] 赵存芳,胡志雯.前臂游离皮瓣修复口腔颌面部肿瘤术后缺损围术期护理干预及临床效果[J].湖南中医药大学学报,2016,35(a02):1143-1143.
[13] Gonzalez-Castro A,Ortiz-Lasa M,Peasco Y,et al.Choice of fluids in the perioperative period of kidney transplantation[J].Nefrologia,2017,45(12):572-578.