首页|超声引导下疼痛注射技术在马里维和二级医院中的应用

超声引导下疼痛注射技术在马里维和二级医院中的应用

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目的 探索超声引导下注射技术在海外维和医疗行动中应用价值。方法 选取 2020 年 08 月~2021 年 07 月门诊就诊的疼痛数字评价量表(NRS)≥4 分各类脊柱及四肢关节疼痛患者 85 例,在超声引导下行疼痛注射治疗。于治疗前、治疗后 1 周采用NRS进行疼痛评估,依据改良Macnab疗效评定标准对治疗效果进行疗效评定,并进行满意度评价。结果 85 例患者接受超声引导下疼痛注射治疗,平均注射次数(1。8±0。8)次。治疗前NRS评分为(5。71±0。89)分,治疗后NRS评分为(1。97±0。82)分,治疗前后相比差异有统计学意义(t=27。10,P=0。000)。85 例患者治疗总有效率为 97。6%,优良率为94。1%。满意度评分为(4。7±0。7)分,患者满意度为 94。3%。未发生误入血管、胸腔、内脏,未发生神经损伤等并发症。1 例颈痛患者行小关节注射后出现头晕、耳鸣,和上肢乏力,经观察及平卧休息,于治疗后 1 h恢复。结论 超声引导下脊柱及四肢关节疼痛注射技术减轻患者疼痛效果显著,有效率及患者满意度高,值得今后任务借鉴。
Implementation of ultrasound-guided pain management injection technique in level II peacekeeping hospital in Mali
Objective By summarizing and analyzing the cases of spinal and limb joint pain injection under ultrasound-guided at the Chinese level II peacekeeping hospital in Mali,this study explores the practical value of ultrasound-guided injection technology for overseas peacekeeping medical operations.Methods A total of 85 patients with spinal and limb joint pain,who had a Numerical Rating Scale(NRS)score of≥4 during their outpatient visits from August 2020 to July 2021,were selected for ultrasound-guided pain injection treatment.Pain levels were evaluated using the NRS before and one week after treatment,while therapeutic efficacy was assessed based on the modified Macnab criteria and patient satisfaction.Results A total of 85 patients underwent ultrasound-guided pain injections,with an average frequency of injections at(1.8±0.8)times.The pre-treatment NRS score was recorded as(5.71±0.89)points,while the post-treatment NRS score showed a significant decrease to(1.97±0.82)points(t=27.10,P=0.000).The overall effective rate reached 97.6%,with an excellent and good rate of 94.1%.Patient satisfaction was high at 94.3%,reflected by a satisfaction score(4.7±0.7).No complications,such as vascular,thoracic or internal organ issues,and no nerve damage were observed.Following a small joint injection,a patient with neck pain experienced symptoms of dizziness,tinnitus,and upper limb weakness.However,these symptoms resolved within 1 hour after treatment and observation while the patient remained in a supine position.Conclusion Ultrasound-guided spinal and limb joint pain injection technology exhibits remarkable efficacy in pain relief,efficiency,and patient satisfaction,rendering it a valuable reference for future endeavors.

Ultrasound-guidedPainMaliPeacekeeping

张浩、张研

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116011 大连,联勤保障部队第967医院骨科

116011 大连,联勤保障部队第967医院麻醉科

超声引导 疼痛 马里 维和

大连市医学科研计划

2212024

2024

中华保健医学杂志
中国人民解放军总后勤部卫生部保健局

中华保健医学杂志

CSTPCD
影响因子:0.477
ISSN:1674-3245
年,卷(期):2024.26(2)
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