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童趣化干预联合中西医结合疼痛管理改善创伤性骨折患儿疼痛及心理研究
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作者 谷立丹 蒋继乐 陈雅芬 《河北中医》 2024年第6期1000-1003,共4页
目的观察童趣化干预联合中西医结合疼痛管理改善创伤性骨折患儿疼痛及心理的临床疗效。方法将72例创伤性骨折患儿按照随机数字表法分为2组,对照组36例予常规护理,研究组36例予童趣化干预联合中西医结合疼痛管理,2组均干预7天。比较2组... 目的观察童趣化干预联合中西医结合疼痛管理改善创伤性骨折患儿疼痛及心理的临床疗效。方法将72例创伤性骨折患儿按照随机数字表法分为2组,对照组36例予常规护理,研究组36例予童趣化干预联合中西医结合疼痛管理,2组均干预7天。比较2组干预后疼痛视觉模拟评分(VAS)变化;比较2组干预后儿童焦虑性情绪障碍筛查量表(SCARED)评分变化;比较2组骨折愈合时间、肿胀消失时间;比较2组干预后炎症因子水平变化;比较2组患儿依从性。结果研究组干预后3、7天疼痛VAS评分均低于对照组同期(P<0.05)。研究组SCARED评分(12.61±8.92)分,对照组SCARED评分(28.43±9.27)分,研究组SCARED评分低于对照组(P<0.05)。研究组骨折愈合时间、肿胀消失时间均短于对照组(P<0.05)。研究组干预后超敏C反应蛋白(hs-CRP)、肿瘤坏死因子α(TNF-α)水平均低于对照组(P<0.05)。研究组依从性高于对照组(P<0.05)。结论童趣化干预联合中西医结合疼痛管理能有效改善创伤性骨折患儿疼痛程度、心理状况及炎症水平,缩短创伤性骨折患儿骨折愈合时间和肿胀消失时间,提高创伤性骨折患儿依从性。 展开更多
关键词 骨折 临床试验 疼痛管理
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Effects of Traditional Chinese Medicine Five-element Music Combined with Acupoint Application on Perioperative Sleep Quality in Patients Undergoing Joint Replacement Surgery 被引量:1
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作者 Gu Lidan Wang Qiuju 《World Journal of Integrated Traditional and Western Medicine》 2019年第1期45-49,共5页
OBJECTIVE: To explore the effects of traditional Chinese medicine(TCM) five-element music combined with acupoint application on perioperative sleep quality in patients undergoing joint replacement surgery. METHODS: In... OBJECTIVE: To explore the effects of traditional Chinese medicine(TCM) five-element music combined with acupoint application on perioperative sleep quality in patients undergoing joint replacement surgery. METHODS: In this study, a total of 122 patients with joint replacement surgery in Beijing Jishuitan Hospital were targeted from 2015 to 2018. All patients were grouped by random number table method. Among them, 61 patients with routine nursing were included in the control group. On this basis, the other 61 patients with acupoint application and TCM five-element music therapy were included as the observation group. 2 weeks later, the Pittsburgh Sleep Quality Index(PSQI) was used to evaluate sleep quality in all patients. The sleep improvement of the 2 groups was evaluated, and the patient was assessed for anxiety and depression, and the curative efficacy was evaluated. RESULTS: After 2 weeks of nursing, the PSQI of the patients improved significantly. The PSQI of the observation group was only 6.6 ± 2.4, and the control group decreased to 9.9 ± 2.7. The observation group was better than the control group, and the difference was statistically significant(P < 0.05). Comparing the 2 groups, the anxiety score of the observation group decreased to 4.8 ± 1.6, which was significantly lower than that of 6.9 ± 2.2 in the control group. The depression score of the observation group decreased to 4.6 ± 1.3, which was significantly lower than that of 6.8 ± 2.3 in the control group. In the control group, the negative emotion scores after nursing were better than those before nursing, and the difference was statistically significant(P < 0.05). Comparing the 2 groups, the effective rate of sleep improvement in the observation group was 96.6%, and the cure rate was as high as 49.1%. The control group was 82.0%, and the cure rate was 18.0%. The observation group was better than the control group, and the difference was statistically significant(P < 0.05). CONCLUSION: The combination of TCM five-element music with acupoint application can improve the perioperative sleep quality of patients undergoing joint replacement surgery, and it can help patients to relieve negative emotions. It is worth promoting. 展开更多
关键词 Traditional Chinese medicine five-element MUSIC ACUPOINT application Joint REPLACEMENT surgery SLEEP quality
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