摘要
目的探讨耳鼻喉急性感染及术后疼痛患者的临床治疗方法与效果。方法选取2013年4月-2014年4月医院耳鼻喉科80例急性感染及术后疼痛患者临床资料进行分析,采用随机对照方法将其分为对照组和试验组,每组各40例,对照组采用芬太尼透皮贴剂治疗,试验组采用扶他林治疗,比较两组患者治疗效果及药物不良反应、VAS评分等指标,数据采用SPSS18.0软件进行统计分析。结果患者治疗总有效率试验组为95.0%、对照组为85.0%,差异有统计学意义(P<0.05);试验组患者术后清醒时间、术后6、12、24hVAS评分显著低于对照组,差异有统计学意义(P<0.05);试验组患者治疗后临床证候积分显著低于对照组,临床证候差值显著高于对照组,差异均有统计学意义(P<0.05);试验组患者不良反应发生率为7.5%,显著低于对照组的17.5%,差异有统计学意义(P<0.05)。结论耳鼻喉急性感染以及术后疼痛患者采用扶他林治疗效果理想,能减轻患者疼痛,药物不良反应发生率较低,值得推广应用。
OBJECTIVE To explore the clinical treatment of acute infections and postoperative pain in patients of ear-nose-throat department and observe the effect.METHODS The clinical data were collected from 80 patients with acute infections and postoperative pain who were treated in the ear-nose-throat department from Apr 2013 to Apr 2014,the enrolled patients were randomly divided into the control group and the experimental group,with 40 cases in each.The control group was treated with fentanyl transdermal patch,while the experimental group was given voltaren.The therapeutic effect,drug-induced adverse reactions,and VAS scores were observed and compared between the two groups of patients,and the statistical analysis of data was performed with the use of SPSS18.0software.RESULTS The total effective rate of treatment of the experimental group was 95.0%,the control group 85.0%,and there was significant difference（P〈0.05）.The postoperative awake time and VAS scores after the surgery for 6,12,and 24 hours were significantly lower in the experimental group than in the control group（P〈0.05）.The clinical syndrome score of the experimental group was significantly lower than that of the control group after the treatment;the difference value of clinical syndrome of the experimental group was significantly higher than that of the control group（P〈0.05）.The incidence of adverse reactions of the experimental group was 7.5% after the drug therapy,significantly lower than 17.5% of the control group（P〈0.05）.CONCLUSION Voltaren can achieve ideal effect on treatment of acute infections and postoperative pain in the patients of ear-nose-throat department and relieve the pain of the patients,with the incidence of drug-induced adverse reactions low;it is worthy to be promoted.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2016年第4期892-894,共3页
Chinese Journal of Nosocomiology
基金
河南省医药卫生科技攻关基金资助项目(112102310259)
关键词
耳鼻喉科
急性感染
术后疼痛
临床治疗
效果分析
Ear-nose-throat department
Acute infection
Postoperative pain
Clinical treatment
Effect analysis
