不同镇痛方法在急诊疼痛管理中的临床价值对比分析.docVIP

精品论文 参考文献 不同镇痛方法在急诊疼痛管理中的临床价值对比分析 （綦江区人民医院急诊科 重庆 綦江 401420） 　　【摘要】 目的：探讨不同镇痛方法在急诊疼痛管理中的临床价值。方法：选取本院2012年10月～2015年10月急诊疼痛患者112例，采用数字随机法分为两组，对照组患者56例采用双氯芬酸钠栓+盐酸消旋山莨菪碱+盐酸丙帕他莫治疗，观察组患者56例采用双氯芬酸钠栓+丁溴东莨菪碱+盐酸丙帕他莫治疗，比较两组患者镇痛效果及不良反应情况。结果：治疗后，两组患者疼痛减轻（P＜0.05）。观察组患者疼痛评分、不良反应发生率低于对照组（P＜0.05），镇痛效果好于对照组（P＜0.05）。结论：双氯芬酸钠栓+丁溴东莨菪碱+盐酸丙帕他莫在急诊疼痛管理中的应用效果更好，疗效确切且安全性高，值得临床推广使用。 　　【关键词】双氯芬酸钠栓；丁溴东莨菪碱；盐酸丙帕他莫；急诊；疼痛管理 　　【中图分类号】R614 【文献标识码】A 【文章编号】2095-1752（2016）27-0193-02 　　Clinical value comparative analysis of different analgesia methods in emergency pain management 　　Zhou Xianping,Xu Chen (Communications author) 　　Emergency department of the peoples Hospital of Qijiang District 　　【Abstract 】 Objective To investigate clinical value of different analgesia methods in emergency pain management. Methods 112 patients with emergency pain were selected in hospital from October 2012 to October 2015,who were divided into two groups by digital random method.56 patients treated diclofenac sodium suppository + racanisodamine hydrochloride + propacetamol hydrochloride as control group. 56 patients treated diclofenac sodium suppository + scopolamine butylbromide + propacetamol hydrochloride as observation group.?Analgesic effect and adverse reactions were compared between two groups. Results After treatment, pain relief in two groups(P lt; 0.05). Pain score and incidence of adverse reactions in observation group were lower than control group (P lt; 0.05). Analgesic effect in observation group was better than control group (P lt; 0.05). Conclusion Diclofenac sodium suppository + scopolamine butylbromide + propacetamol hydrochloride has better application effect in emergency pain management, which has significant effect and high security. That is worthy of clinical use. 　　【Key words】 Diclofenac sodium suppository;?Scopolamine butylbromide;?Propacetamol hydrochloride; Emergency; Pain management 　　急性疼痛在临床中较为常见，其诱因较多，例如泌尿系结石，可给患者带来剧痛，严重影响其生活质量。有效的镇痛治疗是可在一定程度上改善患者的精神状况