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find Keyword "疼痛" 178 results
  • 复方利多卡因乳膏减轻血透内瘘穿刺疼痛效果的观察

    【摘要】目的观察复方利多卡因乳膏在减轻血液透析内瘘血管穿刺疼痛中的效果。方法将52例首次使用内瘘穿刺的血透患者,随机分为对照组和复方利多卡因乳膏组。对照组以常规方法进行穿刺;复方利多卡因乳膏组在穿刺前以穿刺点为中心涂擦复方利多卡因乳膏,60 min后进行穿刺。结果复方利多卡因乳膏组内瘘穿刺疼痛程度与对照组比较,差异有统计学意义(Plt;005)。结论复方利多卡因乳膏涂擦可减轻内瘘穿刺时的疼痛。

    Release date:2016-09-08 09:45 Export PDF Favorites Scan
  • 循证护理在甘露醇输注疼痛中的应用

    目的 探讨缓解甘露醇快速滴注引起的疼痛护理对策。 方法 对2010年1月-8月102例静脉滴注甘露醇治疗患者,随机分为两组,对照组50例给予常规护理措施,干预组52例采用循证护理方案,并用χ2检验比较两组患者疼痛的缓解效果。 结果 两组数据进行比较,干预组患者的疼痛明显低于对照组(P<0.01)。 结论 循证护理可以缓解甘露醇快速滴注引起的肢体疼痛,提高患者舒适度,规避风险,提高护理质量。

    Release date:2016-09-07 02:38 Export PDF Favorites Scan
  • Clinical Comparative Study of Tension-Free Herniorrhaphy with Different Suture

    目的 观察运用两种不同缝线固定修补材料对疝修补术后的复发、切口感染、慢性疼痛等并发症发生情况。方法 对2008年4月至2010年4月期间笔者所在科室收治的250例腹股沟疝患者行无张力疝修补手术时,采用多股丝线或可吸收合成缝线固定修补材料进行前瞻性对比研究。结果 2组患者术后疝复发、切口感染和切口疼痛(包括慢性疼痛)发生率间的差异均无统计学意义(P>0.05)。结论 腹股沟疝无张力修补术后的复发、切口感染、慢性疼痛等并发症的发生与缝线选择无关。术者的操作技巧、严格的无菌操作原则、彻底止血以及组织损伤小才是防止术后感染、慢性疼痛等并发症发生的重要因素。

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  • 康复期骨折患者夜间疼痛护理技术的应用

    【摘要】 目的 探究夜间疼痛护理技术对缓解康复期骨折患者疼痛的确切疗效,提高骨折患者康复期的护理质量。 方法 2006年9月—2008年5月,对符合标准的100例患者随机分为对照组和治疗组各50例,采用视觉模拟评分法(VAS)评分后,两组均采用常规康复治疗,治疗组同时采用夜间疼痛护理技术。1周后两组均进行VAS评定。 结果 治疗前治疗组和对照组VAS评分分别为(7.70±0.76)、(7.58±0.88)分,两组比较,差异无统计学意义(t=0.304,P=0.762)。治疗1周后,治疗组和对照组VAS评分分别为(3.23±0.80)、(5.38±0.94)分,两组比较,差异有统计学意义(t=12.320,P=0.000)。 结论 采用夜间疼痛护理技术应用于康复期骨折疼痛患者具有确切疗效。

    Release date:2016-09-08 09:26 Export PDF Favorites Scan
  • The status quo of postoperative pain management in patients with pulmonary disease after discharge

    ObjectiveTo investigate the current status of outpatient pain management in patients with pulmonary disease after surgery by WeChat and to provide a basis for postoperative pain management.MethodsA total of 449 patients who underwent thoracic surgery in our hospital from December 2017 to May 2018 were enrolled, including 156 males and 293 females with an average age of 22-83 (55.54±11.17) years. Brief Pain Inventory was adopted for pain assessment in 24-48 hours after discharge and 24 hours after removal of from the wound.ResultsTotally 98.22% of the patients reported that they suffered from pain in 24-48 h after discharge, most pain position was still at drainage port (45.21%), the overall pain score was 2.75 (2.00, 3.25) points, and 82.85% of patients adopted physical methods to relieve pain. After removal of stitches at the drainage port, 79.29% of the patients suffered from pain, the pain site was mainly at the drainage port (47.88%), and the overall pain score was 1.75 (1.25, 2.25) points, and 73.94% of patients adopted physical methods to relieve pain. The score of the overall influence degree of pain on patients was 2.29 (1.86, 2.86) points and 1.86 (1.29, 2.43) points, while pain had the greatest influence on sleep and mood. The scores were 4.00 (3.00, 5.00) points, 3.00 (2.00, 4.00) points and 2.00 (1.00, 4.00) points, 3.00 (2.00, 4.00) points, respectively.ConclusionUnder the concept of enhanced recovery after surgery, the overall pain level of patients with pulmonary disease after discharge is mild pain, but the application rate of drug analgesia in patients is low. The overall effect of pain on postoperative patients with lung cancer is low, but it has a great impact on sleep and mood. Medical staff should strengthen the pain education for patients in order to improve their pain self-management ability.

    Release date:2019-10-12 01:36 Export PDF Favorites Scan
  • Difference in Pain between Subcutaneous Injection at the Lower Edge of Upper Arm Deltoid and at the Abdominal Peri-Umbilicus

    【摘要】 目的 比较上臂三角肌下缘及腹部脐周皮下注射药物的疼痛程度以及两种注射部位药物注射后局部不良反应。 方法 将2009年9月-2010年5月在我院门诊注射室执行皮下注射的患者200例。采用自身对照,分别在三角肌下缘与腹部脐周行皮下注射,根据视觉模拟评分法,对所有患者进行疼痛程度评估,将所得数据进行对比分析。 结果 腹部脐周皮下注射较上臂三角肌下缘注射疼痛评分低,差异有统计学意义(Z=6.02,Plt;0.005),两组注射局部均无不良反应。 结论 腹部脐周皮下注射疼痛程度较上臂三角肌下缘皮下注射疼痛程度轻。【Abstract】 Objective To compare the difference in pain degrees between subcutaneous injection at the lower edge of upper arm deltoid and at the abdominal peri-umbilicus, and to observe the adverse reactions of the two ways of injection. Methods A total of 200 patients who were in the outpatient injection room from September 2009 to May 2010 were injected subcutaneously at the lower edge of upper arm deltoid and the abdominal peri-umbilicus with the method of self control; the pain degrees were assessed by visual analog score and the data were analyzed. Results The pain scores between the two groups differed much (Z=6.02,Plt;0.005), while the difference in space distributions between the two groups was not significant. Conclusion The pain of subcutaneous injection at the abdominal peri-umbilicus is lighter than that at the lower edge of upper arm deltoid.

    Release date:2016-09-08 09:52 Export PDF Favorites Scan
  • Survey and Analysis on the Pain Status in Perioperative Period in Patients with Gastrointestinal Diseases

    目的 调查胃肠道疾病患者围手术期的疼痛状况,为建立无痛病房,优化医疗和护理服务提供依据。 方法 对2011年12月5日-2012年1月14日胃肠外科所有的新住院患者共227例,采用《四川大学华西医院住院病人疼痛现状调查问卷》进行调查,并同期调查胃肠外科27名主管医师对疼痛药物了解状况。 结果 有明确行为能力的216例患者完成调查问卷,其中有195例(90.28%)接受手术治疗,全身麻醉患者193例(占手术患者98.97%),诊断为胃肠道肿瘤163例(占手术人数的83.59%),手术等级为三级146例(占手术人数的74.87%)。有168例(86.15%)患者术后镇痛,在术后镇痛过程中使用镇痛泵156例(92.86%),其中75例(48.08%)认为镇痛泵镇痛“基本有效”,30例(19.23%)认为“无效”。39例术后未使用镇痛泵,其中20例(51.28%)认为“未使用术后镇痛泵”最主要原因为“不了解镇痛泵”。受调查的主管医师了解的疼痛药物仅占罗列药物52种的(20 ± 5.36)种。 结论 疼痛现象在胃肠道疾病围手术期患者中属普遍现象,由于不断增强镇痛意识和镇痛需求与相关知识缺乏的矛盾存在,及较少的医疗护理干预,导致镇痛效果不佳,影响了疼痛管理长效机制的建立和无痛病房的建设。

    Release date:2016-09-08 09:11 Export PDF Favorites Scan
  • Application of Pain Management Based on Fast-track Surgery for Patients Undergoing Day Surgery of Laparoscopic Cholecystectomy

    ObjectiveTo explore the role of fast-track surgery (FTS) in day-case laparoscopic cholecystectomy (DLC) pain management. MethodsWe used bidirectional cohort study to investigate the patients undergoing day surgery of laparoscopic cholecystectomy admitted into our department. A total of 143 patients between April and September 2014 receiving routine pain management were chosen to be the control group, and 78 patients between October 2014 and January 2015 receiving FTS pain management were regarded as the FTS group. Postoperative pain, early ambulation, influence of pain on the sleep, patients' satisfaction and prolonged hospital stay rate were compared between the two groups. ResultsPain scores of patients in the FTS group 0-0.5, 0.5-6, 6-12, and 12-24 hours after surgery were significantly lower than those in the control group (P<0.05). The proportion of patients with early postoperative ambulation and patients' satisfaction rate in the FTS group were significantly higher than the control group (P<0.05). ConclusionThe FTS pain management model can effectively reduce patients' pain after DLC, accelerate patients' postoperative rehabilitation and increase patients' satisfaction.

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  • Kangaroo Care for Neonatal Pain Nursing Effect

    目的 讨论袋鼠式护理对于足月新生儿疼痛的护理效果,评价其临床应用价值。 方法 将2010年9月-2011年6月在本院出生的98例足月新生儿随机分为两组,其中对照组(49例)采用常规护理方法,观察组(49例)采用袋鼠式护理,对两组新生儿的疼痛程度、心率、血氧饱和度及啼哭时间进行比较。 结果 观察组新生儿疼痛评分低于对照组,两组差异具有统计学意义(P<0.05);观察组新生儿心率低于对照组,而血氧饱和度高于对照组,两组差异有统计学意义(P<0.05);观察组新生儿啼哭时间短于对照组,两组间差异具有统计学意义(P<0.05)。结论 袋鼠式护理有助于降低新生儿的疼痛感,促进生命体征稳定,临床应用效果好。

    Release date:2016-09-07 02:34 Export PDF Favorites Scan
  • 无痛病房的建立及管理进展

    【摘要】 通过对无痛病房概念、模式、管理及疼痛护理方式的全面阐述,指出无痛病房的建立,需要以医护人员的共同参与和多学科的合作为基础,需要有一套完善科学的管理制度、操作流程及评价体系为支撑,规范有效的疼痛护理方法与机制,是患者获得疼痛治疗与护理的重要保证。

    Release date:2016-09-08 09:26 Export PDF Favorites Scan
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