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目的 分析创伤骨科患者在院前急救过程中经常发生的失误性操作及相关的处理措施。方法 选择本院2021年9月-2022年10月纳入的60例创伤骨科患者作为观察对象,以随机数字法分组,对照组、观察组患者各有30例。依次采取常规急救、针对性急救,对比患者急救效果及患者的情绪状态。结果 观察组患者满意度比对照组高,差异有统计学意义(P<0.05)。观察组并发症发生率比对照组低,差异有统计学意义(P<0.05)。2组患者急救前的SAS及SDS评分相比,差异无统计学意义(P>0.05);急救后,观察组SAS及SDS评分比对照组低,差异有统计学意义(P<0.05)。结论 创伤骨科患者在入院前急救发生失误时,采取针对性急救措施,可提升急救质量,使患者得以安全入院治疗,并改善负面情绪。 相似文献
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浸润性导管癌是乳腺癌中最多见的一组肿瘤,在乳腺癌中占绝大多数,其流行病学特征与乳腺癌总体一致。浸润性导管癌在40岁以下妇女中少见,但年轻妇女与老年妇女的肿瘤分类比例是相同的。1大体病理学浸润性导管癌肉眼观察无明显特征,肿瘤外形不规则,呈星 相似文献
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目的:探讨吗啡经硬膜外患者自控镇痛(patient-controlled analgesia,PCA)输注治疗带状疱疹后神经痛,对数字评分量表(numerical rating scales,NRS)的影响。方法:38例腹部带状疱疹后神经痛患者随机分为两组,两组患者均经胸椎12腰1椎间隙置入硬膜外导管,连接装有复合镇痛药液的PCA泵。A组(16例)镇痛液中不含吗啡;B组(22例)镇痛液中含有吗啡。采用数字评分量表(NRS)进行疼痛评估。结果:治疗第3、5、7天及出院后1个月,两组的NRS评分均较治疗前有显著性差异(P〈0.01);治疗第3、5、7天,两组间NRS评分比较有统计学差异(P〈0.05),且B组有效率高于A组(P〈0.05)。结论:硬膜外PCA输注吗啡可快速、有效缓解腹部带状疱疹后神经痛,显著降低NRS评分,提高治疗效果。 相似文献
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目的探讨射频热凝术治疗上肢癌性疼痛的有效性和安全性,并评价其对上肢运动功能的影响。方法共56例以臂丛神经受累为主的上肢癌性疼痛患者分别采用射频热凝术(36例)和神经阻滞术(20例),分别于治疗前及治疗后1、3和7 d采用视觉模拟评分(VAS)评价疼痛程度,记录上肢肌力和术后并发症。结果射频热凝术组患者VAS评分低于(F=64.406,P=0.000)、肌力高于(F=64.405,P=0.000)神经阻滞术组。与术前相比,射频热凝术组患者术后1、3和7 d VAS评分降低(t=25.931,P=0.000;t=19.600,P=0.000;t=24.817,P=0.000),而肌力各时间点差异无统计学意义(均P0.05);神经阻滞术组患者术后1和3 d VAS评分降低(t=19.298,P=0.000;t=14.918,P=0.000)、至术后7 d恢复至术前水平(P 0.05),术后1 d肌力降低(t=13.069,P=0.000)、至术后3和7 d恢复至术前水平(均P 0.05)。两组无一例出现感染、气胸等并发症。结论射频热凝术治疗上肢癌性疼痛安全、有效,且对上肢运动功能影响较小。 相似文献
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Objective To evaluate the therapeutic effect of radiofrequency thermocoagulation on the quality of life in patients with cancer pain. Methods A total of 77 patients with quadripleal cancer pain were involved and divided into two groups according to will of patients and their families: radiofrequency thermocoagulation group and nerve block group. Both groups underwent DSA-guided percutaneous puncture to the external orifice of the intervertebral foramen of the target nerve. The radiofrequency and neurostimulators were used to stimulate the dorsal root ganglion for temperature-controlled radiofrequency thermocoagulation or injection of anti-inflammatory analgesic solution. The pain score, muscle strength score and quality of life were recorded at time before treatment, 1 day and 7 days after treatment. Results The VAS score and muscle strength score were improved in the observation group than those in the control group (P?0.01). QLQ-C30 scale scores were obviously improved in observation group on the 7th day after treatment when compared with that in the control group ((P?0.01). Conclusions Radiofrequency thermocoagulation exerts good curative effect on limb cancer pain without obvious compromising motor function of limbs. 相似文献
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