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局部冷冻治疗减轻腰椎融合术术后疼痛的效果

欧阳小珊 廖翠东 欧阳秀珊

欧阳小珊, 廖翠东, 欧阳秀珊. 局部冷冻治疗减轻腰椎融合术术后疼痛的效果[J]. 分子影像学杂志, 2018, 41(3): 417-419. doi: 10.3969/j.issn.1674-4500.2018.03.33
引用本文: 欧阳小珊, 廖翠东, 欧阳秀珊. 局部冷冻治疗减轻腰椎融合术术后疼痛的效果[J]. 分子影像学杂志, 2018, 41(3): 417-419. doi: 10.3969/j.issn.1674-4500.2018.03.33
Xiaoshan OUYANG, Cuidong LIAO, Xiushan OUYANG. Application of local cryotherapy in relieving postoperative pain after lumbar spinal fusion[J]. Journal of Molecular Imaging, 2018, 41(3): 417-419. doi: 10.3969/j.issn.1674-4500.2018.03.33
Citation: Xiaoshan OUYANG, Cuidong LIAO, Xiushan OUYANG. Application of local cryotherapy in relieving postoperative pain after lumbar spinal fusion[J]. Journal of Molecular Imaging, 2018, 41(3): 417-419. doi: 10.3969/j.issn.1674-4500.2018.03.33

局部冷冻治疗减轻腰椎融合术术后疼痛的效果

doi: 10.3969/j.issn.1674-4500.2018.03.33
详细信息
    作者简介:

    欧阳小珊,主管护师,E-mail: dhejingsi@126.com

Application of local cryotherapy in relieving postoperative pain after lumbar spinal fusion

  • 摘要: 目的 探讨局部冷冻治疗在减轻腰椎融合术术后疼痛中的效果。 方法 选取我院腰椎融合术术后患者150例,随机分为对照组和观察组,每组75例,观察组术后将冰袋置于患者手术部位,20 min后移除,每8 h 1次,至术后48 h为止。对照组不使用冰袋,其余护理及康复锻炼方法均和观察组患者相同。记录两组患者术前及术后1、2、4、8、16、24、36、48 h视觉模拟(VAS)评分,记录术后6、12、24、48 h吗啡用量,在48 h时用李克特量表记录两组患者对于镇痛效果满意度。 结果 观察组术后1、2、4、8、16、24、36、48 h VAS评分均低于对照组(P<0.05)。观察组术后0~6、6~12、12~24和24~48 h吗啡用量及48 h内吗啡总用量均低于对照组(P<0.05)。观察组术后48 h镇痛满意度评分高于对照组(P<0.05)。 结论 局部冷冻治疗可有效减轻腰椎融合术术后患者疼痛,减少阿片类镇痛药物使用,提高患者镇痛满意度,值得临床护理推广。

     

  • 表  1  两组患者一般资料比较

    组别 年龄(岁,Mean±SD 女性[n(%)] 腰痛时间(年,Mean±SD VAS评分(分,Mean±SD
    对照组 62.3±10.8 33(44.0) 3.8±0.8 6.8±2.1
    观察组 62.8 ±11.4 34(45.3) 3.9±1.0 7.0±1.8
    下载: 导出CSV

    表  2  两组患者冷冻治疗前后VAS评分比较(分,n=75,Mean±SD

    组别 治疗前 治疗后1 h 治疗后2 h 治疗后4 h 治疗后8 h 治疗后16 h 治疗后24 h 治疗后36 h 治疗后48 h
    对照组 6.8±2.1 4.8±1.6 4.4±1.5 3.9±1.3 3.3±1.3 3.0±1.2 2.7±1.4 2.6±1.3 2.5±1.1
    观察组 7.0±1.8 3.7±1.7* 3.4±1.4* 3.0±1.2* 2.4±1.3* 2.2±1.1* 1.9±0.9* 1.8±1.0* 1.8±0.8*
    *P<0.05vs对照组.
    下载: 导出CSV

    表  3  两组患者不同时间段使用的吗啡用量比较(mg,n=75,Mean±SD

    组别 0~6 h 6~12 h 12~24 h 24~48 h 48 h总量
    对照组 0.4±0.5 2.9±2.4 3.4±2.6 2.4±1.8 9.1±4.1
    试验组 0.2±0.3* 1.7±1.2* 1.9±1.4* 1.4±0.9* 5.2±2.5*
    *P<0.05vs对照组.
    下载: 导出CSV
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  • 收稿日期:  2018-05-13
  • 刊出日期:  2018-07-01

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