断指再植术后不同镇痛方法比较与护理干预  

Comparison of Analgesic Effects of Different Analgesics after Digital Replantation and Nursing Intervention

作　　者：陈淑琴[1] 刁惠民[1] 赵崇梅[1] 宋海燕[1] 张郑荣[1] 

机构地区：[1]解放军第401医院手外科,山东青岛266071

出　　处：《解放军护理杂志》2004年第5期3-5,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的　评价断指再植术后不同镇痛方法的效果 ,寻找断指再植术后最佳镇痛方法及护理干预措施。方法　2 2 0例断指再植术后患者随机分为 3组 :输液泵组 1 1 0例 ,静脉持续匀速输入镇痛药 ;肌注组 5 5例 ,根据患者要求间断肌注哌替啶 ;口服组 5 5例 ,1次 / 6h口服散利痛。观察患者术后不同时间疼痛程度、药物不良反应及再植指血管危象发生情况。结果　患者疼痛严重程度 :肌注组 >口服组 >输液泵组 (P <0 .0 1 ) ;药物副反应 :输液泵组 >肌注组与口服组 (P <0 .0 5 ) ;术后再植指血管危象发生率 :肌注组与口服组 >输液泵组 (P <0 .0 5 )。结论　断指再植术后静脉输液泵组镇痛效果最好 ,但不良反应较多 ,护士应正确实施护理干预 ,减少镇痛不良反应 。Objective To select a most favorable pain relieving analgesic for postoperative analgesia in digital replantation patients.Methods 220 digital replantation patients were randomly divided into 3 groups. In Group A (n=110), mixtures of analgesic drugs were administered continuously via an intravenous pump. In Group B(n=55),intramuscular Dolantin was given as ordered p.r.n..In Group C (n=55), oral Saridon was administered q 6 h.Severity of pain,adverse reactions of the drugs and occurrence of vascular crisis were observed and recorded.Results Degree of postoperative pain was greatest in Group B patients than in Group C patients and was least in Group A patients (P<0.01).Drug adverse reaction was greatest in Group A than in Group B and C (P<0.05).Occurrence of vascular crisis was least in Group A than in Group B and C (P<0.05). Conclusion In digital replantation patients, the pain relieving effect is best in Group A,though the drug adverse reaction is severe. The nurses should exercise nursing intervention in time to decrease the drug adverse reaction and enhance the pain relieving effect.

关 键 词：断指再植术 术后 镇痛 护理干预 输液泵 肌肉注射 静脉注射 

分 类 号：R658.1[医药卫生—外科学] R473.6[医药卫生—临床医学]