手外伤显微外科术后不同时间段疼痛程度及干预的研究  

Study on the pain levels of different time periods and effect of intervention after microsurgery on hand injuries

作　　者：刘庆芬[1] 陆彩萍[2] 邱双玲[1] 徐晓燕[1] 

机构地区：[1]上海交通大学医学院附属第三人民医院外科,201900 [2]上海交通大学医学院附属第三人民医院护理部,201900

出　　处：《中华现代护理杂志》2010年第27期3268-3269,共2页Chinese Journal of Modern Nursing

摘　　要：目的 探讨手外伤显微术后不同时间段疼痛程度及干预效果,为临床医务人员特别是护理人员处理术后疼痛提供客观指标.方法 采用数字分级评估法对60例手外伤患者显微术后72 h内不同时间段疼痛强度和疼痛时间进行评估,并给予心理及药物十预,探讨其疼痛的规律性;观察心理干预效果.结果 患者疼痛峰值在夜晚20：00～24：00和午后12：00～16：00时段,两时段疼痛强度及时间组间比较差异无统计学意义（P＞0.05）,两组时间段分别与其他时间段组间比较差异有统计学意义（P＜0.05）;中度疼痛时间30 min之内心理干预效果较好（P＜0.05）,超过30 min则需要药物治疗.结论 将疼痛因素引起的血管危象控制在最小范围内,提高手术的成功率.Objective To study the pain levels of different time periods and effect of intervention after microsurgery on hand injuries,and to provide objective indexes for pain dealing after operation for medical staff,especially nurses.Methods Pain intensity and duration within 72 h after microsurgery was assessed on 60 cases of patients with hand injuries using digital grading method.Psychological and medical intervention was given to explore the pattern of their pain and the effect of intervention.Results Pain peaks appeared at 20：00 ～ 24：00 and 12：00 ～ 18：00.Pain intensity and duration was not significantly different between the two periods （P 〉0.05） but was significantly different from the other periods （P〈0.05）.Psychological intervention was effective for moderate pain within 30 minutes （P〈0.05）.Drug treatment was needed beyond 30 minutes.Conclusions The study helps to minimize the occurrence of pain-induced vascular crisis and increase the success rate of surgery.

关 键 词：手外伤 血管吻合 时间段 疼痛 护理 

分 类 号：R473.6[医药卫生—护理学]