揿针疗法对老年急诊浅Ⅱ度烧伤疼痛患者镇痛效果及舒适度的影响  

Effect of press-needle therapy on analgesic effect and comfort in elderly patients with emergency superficial second degree burn

作　　者：朱娜 杨敏烈[4] 段培蓓[2] ZHU Na;YANG Minlie;DUAN Peibei(Nursing College of Nanjing University of Traditional Chinese Medicine,Nanjing 210023,China;Nursing Department,First Affiliated Hospital of Nanjing University of Traditional Chinese Medicine,Nanjing 210029,China;Emergency Department,Wuxi Third People's Hospital in Jiangsu Province,Wuxi 214000,China;Burn and Plastic Surgery Department,Wuxi Third People's Hospital in Jiangsu Province,Wuxi 214000,China)

机构地区：[1]南京中医药大学护理学院,江苏南京210023 [2]南京中医药大学第一附属医院护理部,江苏南京210029 [3]江苏省无锡市第三人民医院急诊科,江苏无锡214000 [4]江苏省无锡市第三人民医院烧伤整形科,江苏无锡214000

出　　处：《中国现代医生》2018年第34期152-155,共4页China Modern Doctor

基　　金：江苏省无锡市卫生计生委科研项目(Z201710)

摘　　要：目的探讨揿针疗法对老年急诊Ⅱ度烧伤疼痛患者镇痛效果及舒适度的影响。方法选择2018年1～6月无锡市第三人民医院收治的老年急诊浅Ⅱ度烧伤疼痛患者110例为研究对象,采用随机数字表法分为观察组和对照组各55例。对照组给予包括疼痛干预在内的急诊烧伤疼痛患者常规护理干预,观察组联合应用行揿针疗法。比较两组患者镇痛效果、舒适度、镇痛药物相关不良反应、患者满意度。结果观察组芬太尼用量明显少于对照组,镇痛泵使用时间明显短于对照组,NRS评分明显低于对照组[(165.45±21.23 vs 232.45±26.12)μg、(24.12±3.24vs 28.54±4.12)h、(3.28±0.54 vs 4.35±0.62)分(t=14.762, 6.254, 9.651, P<0.05, P<0.01);生理维度、心理精神维度、环境维度、社会文化维度、整体舒适评分均明显高于对照组(13.12±2.24 vs 9.56±1.32,25.45±3.32 vs 20.12±2.54,16.45±2.42 vs 13.25±2.32,15.32±2.35 vs 13.12±2.24,70.34±8.12 vs 56.05±6.42)分(t=10.154,9.456,7.079,5.026,10.238,P<0.05,P<0.01);便秘等镇痛药物相关并发症(14.55%)明显低于对照组(36.36%)(χ~2=6.899,P<0.05);满意度(94.55%)明显高于对照组(81.82%)(χ~2=4.274,P<0.05)。结论揿针疗法有助于提高老年急诊浅Ⅱ度烧伤疼痛患者镇痛效果,增强患者舒适感,减少镇痛药物相关不良反应,进而提高患者满意度。Objective To investigate the effect of press-needle therapy on the analgesic effect and comfort of elderly patients with emergency superficial second degree burn. Methods A total of 110 elderly patients with emergency superficial second degree burn pain admitted in the Wuxi Third People's Hospital from January 20 to June 2018 were enrolled. The patients were divided into observation group (n=55) and control group (n=55) using randomized digital table method. The control group received routine nursing intervention for emergency burn pain patients including pain intervention, and the observation group was also treated with press-needle therapy. The analgesic effect, comfort, analgesic drug-related adverse reactions, and patient satisfaction were compared between the two groups. Results The dose of fentanyl in the observation group was significantly lower than that in the control group;the use time of the analgesic pump was significantly shorter than that of the control group;the NRS score was significantly lower than that of the control group [(165.45±21.23 vs 232.45±26.12)μg,(24.12±3.24 vs 28.54± 4.12)h,(3.28±0.54 vs 4.35±0.62)(t=14.762, 6.254, 9.651, P<0.05, P<0.01)]. Physiological dimension, psychological spirit dimension, environmental dimension, sociocultural dimension, overall comfort score in the observation group were obviously higher than those of the control group[(13.12±2.24 vs 9.56±1.32, 25.45±3.32 vs 20.12±2.54, 16.45±2.42 vs 13.25±2.32, 15.32±2.35 vs 13.12±2.24, 70.34±8.12 vs 56.05±6.42)(t=10.154, 9.456, 7.079, 5.026, 10.238, P<0.05, P<0.01)]. The analgesic-related complications such as constipation in the observation group (14.55%) was significantly lower than that of the control group (36.36%)(χ^2=6.899, P<0.05). The satisfaction(94.55%) in the observation group was significantly higher than 81.82% of the control group(χ^2=4.274, P<0.05). Conclusion Press-needle therapy can improve the analgesic effect of elderly patients with emergency second degree burn pain, enhance patient com

关 键 词：浅Ⅱ度烧伤 老年 揿针疗法 镇痛效果 舒适度 

分 类 号：R246.7[医药卫生—针灸推拿学]