曲马多缓释片联合护理干预对骨折患者术后疼痛影响.docVIP

曲马多缓释片联合护理干预对骨折患者术后疼痛影响 　　[摘要] 目的：观察曲马多缓释片联合护理干预对骨折患者术后疼痛的影响。方法：将112例创伤性骨折术后患者随机分为观察组和对照组，每组56例。对照组术后给予曲马多缓释片口服及常规护理，观察组在此基础上给予针对性的护理干预措施。结果：观察组术后疼痛程度明显轻于对照组（P0.01），睡眠质量及满意率显著高于对照组（P0.01），而72 h内曲马多的用量则明显少于对照组（P0.01）。结论：曲马多缓释片联合护理干预能有效缓解骨折患者的术后疼痛，提高患者对护理工作的满意度。 　　[关键词] 曲马多缓释片；护理干预；骨折；术后疼痛 　　[中图分类号] R473.6 [文献标识码]B[文章编号]1674-4721（2011）07（a）-073-02 　　 　　Influence of tramadol sustained-release tablets combined with nursing intervention on postoperative pain in patients with fracture 　　FANG Xiaoni 　　Surgery Department, the People′s Hospital of Shanwei City, Guangdong Province, Shanwei 516600, China 　　[Abstract] Objective: To observe the effect of tramadol sustained-release tablets combined with nursing intervention on postoperative pain in patients with traumatic fracture. Methods: 112 postoperative cases with traumatic fracture were divided randomly into observation group (n=56) and control group (n=56), the control group received orally tramadol sustained-release tablets and conventional nursing, moreover, the observation group received nursing intervention measures. Results: Compared with the control group, the observation group had lighter postoperative pain, higher sleep quality and content rate, and smaller dosage of using tramadol in postoperative 72 hours (all P0.01). Conclusion: Tramadol sustained-release tablets combined with nursing intervention can effectively lighten postoperative pain in patients with traumatic fracture and enhance their content degree to nursing service. 　　[Key words] Tramadol sustained-release tablets; Nursing intervention; Fracture; Postoperative pain 　　 　　创伤所致的严重疼痛会加重患者的休克及全身反应，直接影响运动功能和创伤恢复，四肢骨折患者如不及时有效地镇痛，会因剧痛而躁动，骨折端的高浓度蛋白分解酶可促使脂滴进入血液，造成脂肪栓塞综合征[1]。因此，如何有效、快速地减轻骨折患者的术后疼痛便成为临床医护工作者急需探讨的重要课题。2009年7月~2011年3月，本科对56例四肢骨折患者采用曲马多缓释片治疗，同时给予针对性的护理干预，取得较好效果，现报道如下： 　　1 资料与方法 　　1.1 一般资料 　　112例为在本院骨科住院的四肢骨折术后患者，均无内脏及颅脑损伤。其中，男79例，女33例，年龄16~68岁，平均（37.4±5.8）岁。伤情分类：单侧肱骨骨折12例，单侧前臂骨折15例，单侧股骨骨折18例，单侧胫腓骨骨折26例，双侧前臂骨折5例，双侧胫腓骨骨折17例，股骨合并胫腓骨骨折19例