不同给药时间对创伤患者换药后影响的研究  

Effects of preemptive analgesic on pain caused by changing wound dressings in traumatic patients

作　　者：代永静[1] 李晶[2] 冯崴[1] 石静静[1] 罗新[1] 邬晓勇[1] 张明学[1] 

机构地区：[1]解放军总医院骨科,北京100853 [2]解放军总医院南楼,北京100853

出　　处：《中国矫形外科杂志》2013年第2期187-189,共3页Orthopedic Journal of China

摘　　要：[目的]探讨不同给予止疼药时间对患者换药疼痛的影响,为减轻换药疼痛提供参考。[方法]选择本科2010年1月～2010年6月收治的严重创伤患者50例,采用自身对照的方法,按照给予氟比洛芬酯止痛的时机分为A、B、C组。观察患者疼痛评分、心肌耗氧量、患者对再次换药的恐惧程度。[结果]A组患者疼痛评分较B、C组低,心肌耗氧量少,对再次换药的恐惧感弱,差异均有统计学意义(P<0.05)。[结论]换药前给药可明显减轻患者换药疼痛,减少心肌耗氧量及对换药的恐惧感,尤其对老年或心功能不全患者更有意义。[ Objective ] To explore the effect of different analgesic on pain caused by changing wound dressings, and to provide clinical reference. [ Method] By means of self-comparison,fifty patients of severe trauma were included during January and June of 2010 ,and were divided into three different groups of A, B and C group, according to the time of administration of flurbi- profen. VAS, myocardial oxygen consumption and fear to rechanging dressings were recorded. [ Result ] Lower VAS, myocardial oxygen consumption and fear to rechanging dressings were observed in preemptive group, with significant difference （P 〈 0. 05 ）. [ Conclusion] Pain relief,decreased myocardial oxygen consumption and fear to dressings changing can be expected with preeruptive analgesic, especially in aged patients or those with cardiac deficiency.

关 键 词：镇痛 时间 创伤 换药 疼痛 

分 类 号：R472[医药卫生—护理学]