腕踝针联合自控镇痛泵对腰椎内固定术口疼痛护理的影响  

Effects of wrist-ankle needle combined with self-controlled analgesia on pain after lumbar internal fixation

作　　者：赖培茜 康佳 林涌鹏[2] 黄利英[3] 曾静[3] LAI Peiqian;KANG Jia;LIN Yongpeng;HUANG Liying;ZENG Jing(Guangdong Pharmaceutical University,Guangzhou 510310,China)

机构地区：[1]广东药科大学,广州510310 [2]广东省中医院,广州510120 [3]广东省妇幼保健院,广州510010

出　　处：《实用医学杂志》2019年第9期1508-1513,共6页The Journal of Practical Medicine

基　　金：国家中医临床研究基地业务建设第二批科研专项基金资助项目(编号:JDZX2015081);广东省中医院中医药科学技术研究专项基金资助项目(编号:YN2016ZWB01)

摘　　要：目的探讨腕踝针联合自控镇痛泵对腰椎内固定术口疼痛的影响。方法本研究选用腰椎内固定手术患者共60例,观察组与对照组各30例,对照组采用常规疼痛护理、中医特色护理及术后自控镇痛泵镇痛,观察组在对照组的基础上采用腕踝针护理治疗,观察两组患者术后疼痛VAS评分、自控镇痛泵使用药量、白细胞计数、中性粒细胞百分比、中性粒细胞计数、患者手术日至出院日天数及术后48 h内不良反应发生例数。结果术后拔除自控镇痛泵后,观察组VAS评分较对照组呈下降趋势。术后第4、5天,两组VAS评分差异具有统计学意义(P <0.05)。观察组与对照组两组镇痛泵使用药量随时间变化的趋势相同,观察组镇痛泵使用药量较对照组呈下降趋势,术后12、24、36、48 h,两组间镇痛泵使用药量差异具有统计学意义(P <0.01)。术后第5天实验室指标,术日至出院日天数,术后48 h内不良反应的发生例数差异具有统计学意义(P <0.05)。结论腕踝针联合自控镇痛泵对腰椎内固定术口疼痛有良好的镇痛效果,并能减少镇痛药物的使用量,调节患者炎症细胞水平,促进术口愈合。Objective To investigate the effects of wrist-ankle needle combined with self-controlled analgesia on the pain after lumbar fixation surgery. Methods Sixty patients with lumbar fixation surgery were divided into experimental group and control group,with 30 cases in each group. The control group was treated with common pain nursing and self-controlled analgesia. The experimental group was treated with additional wrist-ankle needle. VAS score,dosage of patient-controlled analgesia and laboratory Indexes were compared between the two groups. Results After removing self-controlled analgesia,V AS score of the experimental group showed a downward trend when compared with that of the control group. On the 4th and 5th day after the operation,there was significant difference in VAS score between the two groups(P < 0.05). self-controlled analgesia dosage in the experimental group and the control group showed the same trend with the increase of time. self-controlled analgesia dosage in the experimental group showed a downward trend when compared with that in the control group. The dosage of self-controlled analgesia was significantly different between the two groups 12,24,36 and 48 hours after the operation(P < 0.01). There were significant differences in laboratory indexes,the time of wound healing and number of patients with adverse reactions between the two groups(P < 0.05). Conclusion wrist-ankle needle combined with self-controlled analgesia has good analgesic effect on the pain after lumbar fixation surgery.

关 键 词：疼痛 腕踝针 自控镇痛泵 腰椎内固定手术 护理 

分 类 号：R473.6[医药卫生—护理学]