创伤性休克患者早期镇痛干预的对比研究

Comparative Study on Early Analgesic Intervention of Patients with Traumatic Shock

目的通过对比研究,探讨镇痛治疗在创伤性休克早期复苏中的作用。方法收集我院急诊科40例中度创伤性休克患者,根据休克指数分级,分为实验及对照两组。实验组患者除进行一般抗休克治疗外,早期给予芬太尼微量泵镇痛治疗,对照组不予镇痛治疗,比较两组患者在疼痛程度、血压、毛细血管充盈时间、尿量、呼吸、补液量等方面的改善情况。结果 VRS均值、烦躁情况、心率、呼吸在30,60,90min时均有明显差异(P<0.05);休克指数、血压、毛细血管充盈时间在30min时无明显差异,但在60及90min时存在明显差异。氧饱和度两组患者在各时间段均未见明显差异。结论镇痛治疗在创伤性休克早期复苏中有重要作用,应完善创伤性休克患者的早期镇痛治疗,并初步探讨镇痛治疗的方法及方式。

Objective To study the effect of analgesic therapy in the treatment of traumatic shock resuscitation through compara -tive study.Methods Forty cases of traumatic shock patients in the emergency department of our hospital was collected and divided into ex -perimental and control groups according to the shock index classification .The patients in the experimental group was treated with trace fenta-nyl analgesia in addition to the general anti-shock treatment ,and the control group did not improve the situation of analgesic therapy .Then, two groups of patients were compared in pain degree ,blood pressure,capillary filling time,urine,breath,fluid volume and so on.Results There were significant differences in mean of VRS ,irritability,heart rate,respiration in the three stages of 30,60 and 90 minutes.SI,BP,cap-illary filling time in 30 minutes were not significantly different ,but there were obvious differences in 60 and 90 minutes.Oxygen saturation of patients in the two groups had no significant difference in all periods of time .Conclusion The analgesic treatment worked as an important role in the early stage of traumatic shock resuscitation ,it should be improved in the future ,and explored further in the method .