低频超声电导应用于胸外科伤口止痛的疗效观察  

Low frequency ultrasound in analgesia of thoracic surgical wounds

作　　者：高虹[1] 祁长敏[1] 吴芳玉[1] 邓攀[1] 丛伟[1] 

机构地区：[1]四川省医学科学院.四川省人民医院胸外科,四川成都610072

出　　处：《实用医院临床杂志》2011年第5期83-84,共2页Practical Journal of Clinical Medicine

摘　　要：目的观察低频超声电导经皮局部透药和镇痛泵经静脉给药治疗伤口疼痛的疗效。方法 272例胸外科手术患者按入院顺序分为治疗组和对照组各136例。治疗组采用低频超声电导经皮局部透入含止痛药的凝胶贴片作为耦合剂治疗,每次30分钟,每天2次,3天为1疗程;对照组采用镇痛泵泵入3天为1个疗程。治疗3天后对两组疼痛症状进行视觉模拟评分(VAS)并观察临床疗效。结果治疗组治疗后的VAS评分低于对照组(t=2.895,P<0.05),显效率优于对照组(χ2=11.62,P<0.05),差异均有统计学意义。结论 低频超声电导经皮局部透药是治疗伤口疼痛的一种有效治疗方法。Objective To observe the effect of transdermal drug application by low-frequency ultrasonic conductance and intravenous administration by analgesia pump for pain of thoracic surgical wounds.Methods A total of 272 patients underwent thoracic surgeries were divided into treatment group and control group according to admission order,with 136 cases in each group.Gel strips with analgetica was used as coupling medium in treatment group with transdermal drug application by low-frequency ultrasonic conductance,30 mns,b.i.d,with 3 days as a course of treatment.The control group was treated by analgesia pump for 1 course of treatment.Visual Analogue Scale（VAS） was use to evaluate the pain level and clinical effect was observed.Results After treatment,the VAS scores in treatment group were lower than those of control group（t=2.895,P0.05）.Clinical efficacy in treatment group was significantly better than that of the control group（P0.05）.Conclusion Transdermal drug application by low-frequency ultrasonic conductance is an effective treatment method for pain of thoracic surgical wounds.

关 键 词：低频超声 经皮局部透药 镇痛 手术后 

分 类 号：R614.4[医药卫生—麻醉学] R454.3[医药卫生—外科学]