首页|临床药师参与普外科围手术期镇痛治疗的效果研究

临床药师参与普外科围手术期镇痛治疗的效果研究

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目的 探究临床药师参与普外科围手术期镇痛治疗的效果。方法 100 例进行普外科手术的患者,采用随机数字表法分为对照组与观察组,每组 50 例。对照组采取常规的镇痛方式,观察组在对照组基础上接受临床药师提供的围手术期药学服务。比较两组患者术后出院时间、术后疼痛程度、治疗满意度、不良反应发生情况、P物质水平、去甲肾上腺素水平。结果 观察组术后出院时间(9。66±0。87)d短于对照组的(10。07±0。91)d(t=2。302,P=0。023<0。05)。观察组术后 12、24 h的数字疼痛评分量表(NRS)评分分别为(7。36±0。49)、(5。57±1。26)分,均低于对照组的(7。63±0。57)、(6。34±1。18)分(P<0。05)。观察组患者治疗满意度 98。00%高于对照组的 86。00%(P<0。05)。两组患者术后均未出现不良反应。观察组患者P物质(183。26±26。23)ng/ml、去甲肾上腺素(374。51±37。56)ng/ml均低于对照组的(195。62±29。41)、(392。34±32。34)ng/ml(P<0。05)。结论 在普外科围术期阶段,由临床药师共同参与的镇痛治疗效果显著,有助于减轻患者疼痛症状,并提高患者的满意度,该方式在临床上具有较高的应用价值。
Study on the effect of clinical pharmacists participating in perioperative analgesia in general surgery
Objective To explore the effect of clinical pharmacists participating in perioperative analgesia in general surgery.Methods A total of 100 patients who underwent general surgery were divided into a control group and an observation group by random number table method,with 50 cases in each group.The control group was given traditional analgesia mode,and the observation group was given perioperative pharmaceutical service provided by clinical pharmacists on the basis of the control group.Patients in both groups were compared in terms of postoperative discharge time,postoperative pain level,treatment satisfaction,occurrence of adverse reactions,substance P level,and norepinephrine level.Results The postoperative discharge time in the observation group was(9.66±0.87)d,which was shorter than(10.07±0.91)d in the control group(t=2.302,P=0.023<0.05).The numerical rating scale(NRS)scores of the observation group were(7.36±0.49)and(5.57±1.26)points at 12 and 24 h postoperatively,which were lower than(7.63±0.57)and(6.34±1.18)points of the control group(P<0.05).The treatment satisfaction in the observation group was 98.00%,which was higher than 86.00%in the control group(P<0.05).No adverse reactions occurred in both groups.The observation group had substance P of(183.26±26.23)ng/ml and norepinephrine of(374.51±37.56)ng/ml,which were lower than(195.62±29.41)and(392.34±32.34)ng/ml in the control group(P<0.05).Conclusion In perioperative period of general surgery,analgesic treatment with the participation of clinical pharmacists has significant effects,which can help to improve patients'heart rate and mean arterial pressure,reduce patients'pain symptoms,and improve patients'satisfaction.This method has high clinical application value.

Clinical pharmacistGeneral surgeryPerioperative periodPain levelSatisfactionAdverse reactions

植伟文、余日荣、余长春、蓝玲、陆嫦萍

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527300 广东省云浮市中医院临床药学科

527300 广东省云浮市中医院外三科

临床药师 普外科 围术期 疼痛程度 满意度 不良反应

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(8)
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