目的 探讨中药热奄包外敷治疗全肠外营养输注所致局部疼痛的临床效果。方法选取静脉全肠外营养输注时因药物原因所致局部疼痛的患者76例，随机分为两组，试验组（中药热奄包组）38例和对照组（热水袋组）38例，分别记录观察组和对照组治疗前后患者的视觉模拟评分法。结果 试验组和对照组临床资料差异无统计学意义，两组资料具有可比性。在治疗开始前，试验组和对照组的视觉模拟评分差异无统计学意义（P>0.05），在干预5min后和30min后试验组和对照组的视觉模拟评分差异有统计学意义（P<0.05），试验组镇痛效果要明显优于对照组。在患者治疗满意度调查方面，试验组患者治疗满意度要明显高于对照组（P<0.05）。不良事件发生率比较，两组差异无统计学意义（P>0.05）。结论中药热奄包外敷对全肠外营养输注所致局部疼痛具有良好的镇痛作用，值得临床推广应用。
Abstract
Objective To investigate the clinical effect of Reyanbao on local pain caused by intravenous infusion drugs. Methods 76 patients with local pain caused by drugs during intravenous infusion were selected and randomly divided into 2 groups （38 patients each）: the experimental group （Reyanbao group） and the control group （hot water bag group）. VAS scores of patients in the experimental group and the control group before and after treatment were recorded. ResultsThere was a statistical difference in VAS scores between the experimental group and the control group at T2 and T3（P<0.05）. VAS scores of the experimental group decreased significantly at T1, T2 and T3（P<0.05）. VAS scores of the control group decreased significantly at T1, T2 and T3（P<0.05）. There were statistically significant differences in patient satisfaction scores between the experimental group and the control group（P<0.05）. In terms of the survey of patients treatment satisfaction, the treatment satisfaction of the experimental group was significantly higher than that of the control group （P<0.05）.There were no significant differences in the incidence of adverse events between the two groups （P>0.05）.ConclusionReyanbao has a good analgesic effect on local pain caused by intravenous infusion drugs.
关键词
中药热奄包 /
全肠外营养输注 /
镇痛
Key words
Reyanbao /
Intravenous infusion /
Analgesia
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