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烧伤创面换药操作痛对患者外周血C-反应蛋白的影响及意义
引用本文:辛国华,周湘桂,曾元临,邓伟武,张友来.烧伤创面换药操作痛对患者外周血C-反应蛋白的影响及意义[J].江西医学院学报,2008,48(3):46-48.
作者姓名:辛国华  周湘桂  曾元临  邓伟武  张友来
作者单位:南昌大学第一附属医院烧伤科,南昌330006
基金项目:江西省卫生厅科技计划项目
摘    要:目的观察严重烧伤患者创面换药操作痛前、后外周血C-反成蛋白(CRP)的变化,探讨CRP可否作为烧伤创面换药操作疼痛的应激反应的监测指标。方法测定在创而换药中有明显操作疼痛的烧伤患者(n=30,A组)和在创面换药中无操作疼痛的烧伤患者(n=30,B组)在创面换药前、后CRP水平的变化,并与正常对照组(n=10,C组)进行比较。结果与C组比较,A、B2组换药前、后CRP均显著升高(P〈0.01);A绍换药的CRP水平较B组明显升高(P〈0.01);A组换药后CRP水平较换药前升高(P〈0.05),B组换药前、后CRP无明娃变化(P〉0.05)。结论烧伤创面换药过程中严重的操作疼痛可引起患者外周血CRP升高,CRP可作为烧伤创同换药操作疼痛以及烧伤患者伤后产生应激反应的监测指标之一。

关 键 词:烧伤  创面换药操作痛  C-反应蛋白  应激反应

Significance and Effect of Procedural Pain Produced by Dressing Changes on CRP in Peripheral Blood in the Burn Injured Patient
XIN Guo-hua,ZHOU Xiang-gui,ZENG Yuan-lin,DENG Wei-wu,ZHANG You-lai.Significance and Effect of Procedural Pain Produced by Dressing Changes on CRP in Peripheral Blood in the Burn Injured Patient[J].Acta Academiae Medicinae Jiangxi,2008,48(3):46-48.
Authors:XIN Guo-hua  ZHOU Xiang-gui  ZENG Yuan-lin  DENG Wei-wu  ZHANG You-lai
Institution:Department of Burns;the First Affiliated Hospital ofNanchang University;Nanchang 330006;China
Abstract:Objective To observe the diversity of CRP in peripheral blood between pro-and post-dressing changes in the burn injured patient,exploring whether CRP can act as the monitoring index of procedural pain,stress reaction.Methods The numers of CRP in peripheral blood on procedural pain(A group,n=30)and procedural pain-less produced(B group,n=30)by dressing changes were measured and compared;Carry on a comparison with normal control(C group,n=10).Results Compared with group C,the numers of groups A and B steped u...
Keywords:burns  procedural pain produced by dressing changes  CRP  stress reaction  
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