耳穴压豆法治疗儿童哮喘50例

采用耳穴压豆法治疗儿童哮喘５０例，并随访１年。结果：痊愈１１例，好转３７例；无效２例，总有效率为９６％。认为此法不仅能预防哮喘的发作，还能避免药物引起的副作用。     

耳穴压豆法在护理中的应用

耳穴压豆疗法是根据中医脏腑经络学说 ,结合现代医学解剖知识 ,以辨证施治的观点 ,选取耳部有关穴位 ,用贴有王不留行籽的胶布贴敷并用一定的手法 ,以刺激经络 ,推动气血运行 ,调节人体脏腑、气血、阴阳 ,以达到治疗疾病的目的。现将耳穴压豆法在护理中的应用介绍如下。1　辨证取穴耳穴压豆疗法的效果取决于能否正确地辨证取穴。取穴的原则是根据病变实际情况 ,结合中医基础理论和现代医学知识而定 ,若某一脏腑有病 ,即在耳部选取相应的穴位 ,如胃痛取耳穴胃的同时 ,尚可取与胃相表里的脾 ,受交感神经支配的交感等。2　操作方法确定穴位后 ,…     

耳穴压豆减轻宫缩疼痛及缩短产程初探

我们采用祖国医学的传统方法耳穴压豆,对100例产妇进行了临床观察,发现对缩短产程和止痛具有较好的效果。现将实验结果报告于下。     

耳穴压豆法治疗儿童哮喘50例

采用耳穴压豆法治疗儿童哮喘５０例，并随访１年。结果：痊愈１１例；好转３７例；无效２例，总有效率为９６％。认为此法不仅能预防哮喘的发作，还能避免药物引起的副作用。     

耳穴压豆配合药物治疗麦粒肿60例

采用耳穴压豆法配合药物治疗非化脓性麦粒肿患者６０例６９眼，有效率１００％，平均治愈时间４．４天。     

耳穴压豆治疗经期头痛的体会

<正> 近年来笔者采用耳穴压豆法治疗经期头痛30例,包括经期前、中、后头痛,取得满意疗效。现总结如下:1 临床资料 本组患者共30例,其中最大年龄48岁,最小18岁;实证4例,虚证6例,虚实夹杂20例。     

耳穴压豆法在促进腹部术后病人肠功能恢复中的应用

[目的]探讨耳穴压豆法对促进腹部术后病人胃肠功能恢复的影响。[方法]将60例需腹部手术病人随机分为实验组和对照组,各30例。对照组给予术前宣教、心理护理、指导术后早期活动等护理干预,实验组则在此基础上实行耳穴压豆治疗。观察两组肠鸣音恢复时间及首次排气时间。[结果]实验组肠鸣音恢复时间及首次排气时间明显早于对照组(P<0.05)。[结论]耳穴压豆法用于腹部术后病人能有效刺激其肠蠕动,促进肠功能恢复。     

耳穴压豆治疗失眠

失眠属中医“不寐”或“少寐”研究的范畴。是指脏腑功能紊乱，气血亏虚，阴阳失调导致不能获得正常睡眠的一种病症。笔者采用王不留行籽压耳穴治疗此症，疗效尚好。现报告如下。     

耳穴压豆法治疗失眠的应用

目的观察耳穴压豆法治疗失眠的临床疗效。方法对30例失眠患者采用王不留行籽贴压神门、心、肾、皮质下、交感、垂前等耳穴。结果显效12例,有效16例,无效2例,总有效率为93．3％。结论耳穴压豆法治疗失眠方法简单,疗效好。     

耳穴压豆治疗胃痉挛及胆绞痛

耳穴压豆治疗胃痉挛及胆绞痛孙方军，杨晓军（河北省中医药研究所，石家庄０５００３１）马淑华（石家庄市第四医院）段红光（石家庄市河北医科大学附属第四医院）目前，我国用耳穴治疗病症已达２００种以上，其中以痛症的治疗效果为佳。我们自１９９４年５月至１９９５年...     

护理干预在儿童非霍奇金淋巴瘤鞘内注射中的应用

目的探讨护理干预在儿童非霍奇金淋巴瘤鞘内注射中的应用。方法将10例非霍奇金淋巴瘤患儿110例次鞘内注射随机分为干预组（50例次）和对照组（60例次）。对照组按鞘内注射常规护理,干预组在操作前、中、后予护理干预。结果2组患儿术后副作用中头痛、头晕、腰背痛,患儿依从性和穿刺成功率比较有显著差异（p〈0．05,p〈0．01）。2组患儿术后副作用中胃肠反应如恶心呕吐、腹痛,比较无显著差异（p〉0．05）。结论积极的护理干预能减少儿童非霍奇金淋巴瘤鞘内注射副作用,增加配合度,提高穿刺成功率。     

Z径路肌内注射法和常规肌内注射法应用效果比较

目的对国内常规肌内注射法和Z-径路（Z-track）肌内注射法的应用效果进行比较研究。方法将200例患者分为Z径路肌内注射法和常规肌内注射法组,分别观察并记录注射后药（血）液外渗和疼痛不良反应发生情况。结果 Z径路组与常规组在药液外溢、疼痛发生率方面均有统计学意义。结论采用Z型肌内注射法可以减少药液外溢,减轻疼痛,值得临床推广应用。     

Spinal Epidural Abscess as a Result of Dissemination from Gluteal Abscess Secondary to Intramuscular Analgesic Injection

Spinal epidural abscess is a collection of suppurative material that forms between the dura mater and the ligamentum flavum. If not recognized early and treated correctly, it can lead to life-threatening sepsis. Here we report the case of a female patient, 51 years of age, with difficulty walking and bilateral leg pain after having had degenerative discogenic pain for many years. The patient had occasionally received intramuscular non-steroidal anti-inflammatory drug injections. The current report is that of an unusual case of epidural abscess that formed following multiple dose of intramuscular non-steroidal anti-inflammatory drug over a 1-year period. Hematogenous or direct dissemination is the suspected cause. To prevent serious morbidity and mortality, early diagnosis is essential. Patients with localized back pain who are at risk for developing such epidural spinal abscesses should receive a magnetic resonance imaging scan with contrast enhancement without delay. The existence of predisposing factors such as intramuscular injections should be considered in the assessment of suspected spinal epidural abscess.     

Differences in Postoperative Opioid Consumption in Patients Prescribed Patient-Controlled Analgesia Versus Intramuscular Injection

The purpose of this study was to examine differences in opioid consumption in patients prescribed patient-controlled analgesia (PCA) versus intramuscular injection (IMI) in the early postoperative period after open abdominal surgery. A retrospective audit of 115 patients elicited demographic and clinical data. No significant differences were found between the demographic variables of the PCA and IMI groups. There was a significant difference in the mean opioid dose used during the first 3 postoperative days (p < .01). Mean opioid consumption was 136.89 mg for the PCA group and 50.79 mg for the IMI group. Although there was a reduction in the amount of opioid consumed over the first 3 postoperative days, the PCA group consistently consumed more opioid analgesia compared with the IMI group. Furthermore, there was a disproportionate reduction in opioid consumption between the two groups from Day 1 (r = .34; p < .01) to Day 3 (r = .14; p = .14). This study shows that the amount of analgesia consumed during the postoperative period by patients who had abdominal surgery varied markedly depending on the mode of analgesia (PCA or IMI). The difference in analgesic consumption was also found to increase throughout the 3-day postoperative period. This divergence in the amount of opioid consumption between patients who were prescribed PCA and patients who were prescribed IM analgesia heightens the need for vigilance in assessment and management of pain during the early postoperative period, particularly in patients prescribed IM analgesia on an "as-needed" basis.     

腹腔镜胆囊切除术患者在PACU应用羟考酮注射液镇痛疗效观察

目的分析腹腔镜胆囊切除术患者在麻醉恢复室使用羟考酮注射液镇痛的临床疗效。方法选取本院2013年4月~2015年5月采取腹腔镜胆囊切除术后视觉模拟评估值超过7分的患者64例,依据随机原则分为两组各32例,试验组患者予以羟考酮注射液5mg稀释至5ml后静脉给药,对照组患者予以0.9%氯化钠注射液5ml静脉给药,应用视觉模拟评估法分析患者疼痛情况。并统计用药前后每间隔5min的NT评分,同时密切关注两组患者不良反应情况。结果试验组患者在用药5min后VAS分数明显降低,于20min后降低至0分;对照组患者在用药10min后VAS分数升高到10分,并维持至离开麻醉恢复室;试验组患者在给药10min后出现NT值得一过性降低,但很快就恢复到原先水平;实验患者生命体征在用药后未出现明显改变,未延长患者在麻醉恢复室的停留时间,且不良反应未明显增多。结论腹腔镜胆囊切除术患者在PACU使用羟考酮注射液镇痛效果确切,未发现不良反应明显增多,能够在PACU的镇痛管理中广泛开展,值得临床借鉴。     

黄体酮注射液Z径路肌内注射法的应用效果

目的观察Z径路肌内注射法在黄体酮注射液治疗中的应用效果。方法便利抽样法选择2012年1-12月在江门市新会区人民医院接受体外授精-胚胎移植(in vitro fertilization-embryo transfer,IVF-ET)术后需黄体酮支持治疗的患者100例,采用自身对照,左侧应用常规肌内注射法(对照组),右侧应用Z径路肌内注射法(观察组)。观察记录每例患者两侧臀部注射黄体酮1、4、8、12周后药液外渗、硬结、疼痛程度及瘙痒发生情况。结果 Z径路注射法较常规注射法药液外渗、局部不良反应发生率低,两者比较有统计学意义(均P0.01)。结论 Z径路肌内注射法在黄体酮治疗中能有效减少药液外渗及局部不良反应的发生率,确保黄体酮的剂量和疗效,减轻患者痛苦,提高护理工作质量。     

采用梅花形注射点氯丙嗪肌注的研究

为探讨梅花形注射法肌注氯丙嗪用于精神科临床的可能，对１００例住院病人随机分为实验组和对照组各５０例，采用上述方法与常规肌肉注射对照。结果表明：两线完成观察期全程的例数，注射部位出现局部反应的例数，接受注射平均天数，注射部位最初出现局部反应平均天数，注射部位红、肿、硬结、疼痛反应每天评分等方面，经ｘ＾２检验或ｔ检验，Ｐ值小于０．００１，差异有高度显著性。实验组采用梅花形注射法效果明显优于对照组。作者     

Effect of the Buzzy Application on Pain and Injection Satisfaction in Adult Patients Receiving Intramuscular Injections

AimThe aim of this study was to investigate the effect of the Buzzy application on pain and satisfaction during injections.BackgroundIntramuscular injections usually cause some degree of pain at the injection site. Patients are often afraid of receiving injections because they perceive that it will be painful.DesignThe study was a single-blind, randomized controlled trial.MethodPatients (n = 65) who receive diclofenac sodium intramuscularly at a state hospital in a city in the western region of Turkey were included in the study. The study data were collected by The Patient Information Form and Visual Analog Scale (VAS). Pain intensity and injection satisfaction scores were evaluated using the VAS.ResultsAccording to the findings of this research, the post-injection pain intensity and injection satisfaction scores of patients in the application group were found to be higher than in the control group.ConclusionIn conclusion, the Buzzy device has the potential to reduce injection related pain in adult patients who may be fearful of receiving such injections.     

交互式网络电视系统联合回授法在2型糖尿病老年患者胰岛素注射中的应用

目的 介绍交互式网络电视系统联合回授法在2型糖尿病老年患者笔型胰岛素规范注射中的应用效果。方法 选择我院内分泌科住院期间首次遵医嘱使用胰岛素的40例2型糖尿病老年患者,采取交互式网络电视系统联合回授法指导患者胰岛素注射。交互式网络电视系统平台联合回授法应用具体内容包括:成立健康教育小组,制订视频内容,视频制作及导入相关事宜,交互式网络电视系统平台联合回授法中解释、评估、澄清、理解4步骤有效实施。结果 40例2型糖尿病老年患者参与交互式网络电视系统平台联合回授法治疗周期为（8.00±2.31）d,胰岛素注射技能考核得分（81.56±6.91）分,40例患者在出院后均继续接受笔型胰岛素治疗。结论 交互式网络电视系统平台联合回授法可提高了2型糖尿病老年患者胰岛素治疗的自我管理能力,确保了胰岛素治疗的安全性。