抗焦虑治疗对减轻骨科术后疼痛的研究

被引：25

作者：

曹学伟 ^{[1
]}

路嵘 ^{[1
]}

万朝军 ^{[2
]}

机构：

[1] 广东省中医院

[2] 广东省体育局黄村训练基地

来源：

中国现代医学杂志 | 2006年 / 22期

关键词：

抗焦虑; 预防; 术后疼痛;

D O I：

暂无

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

目的观察术前抗焦虑治疗对术后疼痛的影响;方法78例患者根据一般资料配对后随机分为观察组和对照组,每组39例。术前选用焦虑自评量表进行评估,疼痛程度用视觉模拟评分(visualanalogousscale,VAS)测定,观察组患者均在术前晚及术后6h口服艾司唑仑2～4mg以抗焦虑;对照组则按术前常规处理。二组患者焦虑及疼痛评定于术后48h进行,分别记录由患者根据VAS自评术后最剧烈的伤口疼痛程度;患者术后疼痛次数,术后48h内肌注哌替啶总量。结果观察组术后的焦虑程度为(28.45±4.35),对照组焦虑程度为(37.22±8.63);观察组疼痛程度为(5.86±1.26),对照组疼痛程度为(7.32±1.11);观察组应用哌替定的剂量为(120±30)mg,对照组组应用哌替定的剂量为(150±30)mg;治疗组疼痛次数(3.25±0.33),对照组疼痛次数为(5.16±0.76);两组间差异有统计学意义(P<0.05)。结论应用舒乐安定术前抗焦虑治疗有效,可以减轻术后疼痛程度及次数,减少术后哌替定用量。

引用

页码：3511 / 3512

页数：2

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