【摘要】 目的 評價撫觸對硬膜外麻醉穿刺疼痛的影響及效果。 方法 2009年1-12月，將485例行硬膜外麻醉穿刺患者隨機分為撫觸組（術中行撫觸干預）和對照組（常規(guī)護理），觀察兩組患者的穿刺程度、穿刺時間。 結果 撫觸組患者疼痛程度、穿刺時間較對照組有明顯改善，且差異有統(tǒng)計學意義（P lt;0.01）。 結論 撫觸可降低應激引起的硬膜外麻醉穿刺患者的疼痛程度，保持穿刺體位從而縮短穿刺時間，有利于麻醉操作順利進行。
【Abstract】 Objective To evaluate the effect of touching on alleviating the pain in patients undergoing epidural anesthesia puncture. Methods A total of 485 patients who underwent epidural puncture from January to December 2009 were randomly divided into two groups: 259 in touching group and 226 in control group. In the touching group, the patients were touched and consoled while undergoing epidural puncture. The pain extent and time of puncture were observed and recorded. Results The level of pain and time of puncture were obviously alleviated and shortened in the touching group and the difference between the two groups was statistically significant. Conclusion Touching could reduce the stress and pain caused by epidural puncture, which may lead to maintain the puncture position and thereby shorten the puncture time. It helps to finish the narcotic operation favorably.
引用本文： 張曉旭,鄒玉蘭,何德海,陳茜. 撫觸對緩解硬膜外麻醉穿刺疼痛的效果觀察. 華西醫(yī)學, 2011, 26(1): 97-98. doi: 復制
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- 1. 雪麗霜, 葉梅燕, 楊巧玲, 等. 嬰兒撫觸的研究進展[J]. 護士進修雜志, 2001, 16(10): 728-729.
- 2. 陳貴英. 撫觸對緩解人工流產(chǎn)者術中疼痛的效果觀察[J]. 解放軍護理雜志, 2005, 22(9): 23-24.
- 3. 徐素華, 孫業(yè)安, 吳漢玉. 撫觸對緩解椎間盤激光汽化術中患者疼痛的作用[J]. 中華護理雜志, 2009(8): 750-751.
- 4. 鐘勤. 社會發(fā)展是健康的需求[J]. 中華護理雜志, 2000, 35(6): 365.
- 5. 莊心良, 曾因明, 陳伯鑾. 現(xiàn)代麻醉學[M]. 北京: 人民衛(wèi)生出版社, 2005: 2547.
- 6. 鄒恂. 現(xiàn)代護理新概念與相關理論[M]. 北京: 北京大學醫(yī)學出版社, 2004: 92.
- 7. Schanberg SM, Field TM. Sensory deprivation stress and supplemental stimulation in the rat pup[J]. Child Dev, 1987, 58(6): 1431-1447.
- 8. Field T. Massage therapy for infants and childen[J]. J Dev Behan Pedeatr, 1995, 16(2): 105-111.
- 9. Mokashi A, Leatherbarrow B, Kincey J, et al. Patient communication during cataractsurgery[J]. Eye, 2004, 18(2): 147-151.
- 10. Oh HJ, Park JS. Effects of hand massage and handholding on the anxiety in patients with local infiltration anesthesia[J]. TaehanKanho Hakhoe Chi, 2004, 34(6): 924-933.
- 11. Kuhn CM, Schanberg S, Field T, et al. Tactilekinesthetic stimulation effect on sympathetic and adrenocortical function in preterm infants[J]. J Pediatr, 1991, 119(3): 434-440.