心理干预联合药物多模式治疗用于骨科镇痛效果与应激反应的研究

Study on the effect of combined use of multidimensional therapy on the analgesic effect and stress response of orthopedics

目的 探究心理干预联合药物多模式治疗对骨科镇痛效果与应激反应的效果.方法 选取浙江省瑞安市人民医院2016年3月-2017年3月收治的80例骨科患者,随机均分为对照组和观察组,每组40例.对照组单纯使用药物进行镇痛干预,观察组采用心理干预联合药物多模式治疗.观察2组患者的镇痛效果和应激反应情况.结果 观察组患者满意率明显高于对照组,2组患者的心率、舒张压和收缩压在干预前差异均无统计学意义,经过分组干预后观察组患者的变化相对较小,组间比较差异有统计学意义（P〈0.05）.在不同时间点对患者进行视觉模拟疼痛评分,观察组患者的疼痛情况明显轻于对照组,组间比较差异有统计学意义（P〈0.05）.结论 心理干预联合药物多模式治疗用于骨科镇痛效果与应激反应的研究发现,其相比单纯的药物干预而言,能够起到良好的镇痛效果,同时减少患者的应激反应,因此值得临床借鉴.

Objective To explore the effect of psychological intervention combined with drug multimodal treatment on analgesic effect and stress reaction in Department of orthopedics.Methods80 cases of Department of orthopedics patients in Ruian City People＆#39;s Hospital from March 2016 to March 2017 were selected and randomly divided into control group and observation group, 40 cases in each group.The control group was treated with drugs only, and the observation group was treated with psychological intervention combined with multi multimodal.The analgesic effect and stress response of the 2 groups were observed.ResultsThe satisfaction rate in observation group were significantly higher than the control group.There was no significant difference in heart rate, diastolic blood pressure and systolic blood pressure between two groups before intervention, after group intervention, the changs in observation group were relatively small, and the difference was statistically significant（P〈0.05）.Visual acupuncture scores were observed at different time points,the pain in the observation group was significantly lower than that in the control group, the difference was statistically significant （P〈0.05）.ConclusionMultimodal therapy for analgesia in the Department of orthopedics and found psychological intervention combined with stress reaction the drug, compared with simple drug intervention, can play a good analgesic effect, at the same time to reduce the patient＆#39;s stress response, so it is worthy of reference.