不同注射方法對罌粟堿聯合冬眠1號治療斷肢再植術后患者的效果觀察

白秀軍

【摘要】 目的 觀察不同注射方法對罌粟堿聯合冬眠1號治療斷肢再植術后患者的效果。方法 選取82例斷肢再植術患者作為研究對象， 根據患者意愿分為對照組和觀察組， 每組41例。兩組患者均采用罌粟堿聯合冬眠1號進行肌內注射， 對照組患者通過一個針眼注射2種藥物， 而觀察組患者通過兩個針眼注射2種藥物。對比分析兩組患者注射部位受損程度、治療效果及注射配合度。結果 治療后， 觀察組患者注射部位受損輕度23例（56.10%）， 中度15例（36.59%）， 重度3例（7.32%）;對照組患者注射部位受損輕度7例（17.07%）， 中度21例（51.22%）， 重度13例（31.71%）;觀察組患者注射部位受損程度明顯輕于對照組， 差異具有統計學意義（P<0.05）。觀察組患者治療總有效率為92.68%， 顯著高于對照組的75.61%， 差異具有統計學意義（P<0.05）。觀察組患者注射配合度為95.12%， 顯著高于對照組的80.49%， 差異具有統計學意義（P<0.05）。結論 斷肢再植術后好的治療中聯合使用罌粟堿和冬眠1號， 注射時最好采用2針2管， 即2個針眼分別推入2種藥物的治療方式， 這樣能夠有效減少對患者皮膚造成的損傷， 減輕患者注射治療造成的痛苦， 并且能夠提高短肢再植的成功率。

【關鍵詞】 罌粟堿;斷肢再植術;不同注射方法;效果

DOI：10.14163/j.cnki.11-5547/r.2020.32.009

【Abstract】 Objective? ?To observe the effect of different injection methods on papaverine combined with Dongmian No. 1 in the treatment of patients with replantation of severed limbs. Methods? ?A total of?82 patients with replantation of severed limbs as study subjects were divided into control group and observation group according to wishes of patients， with 41 cases in each group. Both groups were given papaverine combined with Dongmian No. 1 for intramuscular injection. The control group was injected with two drugs through one needle， while the observation group was injected with two drugs through two needles. The degree of damage to the injection site， the treatment effect and the degree of injection cooperation between the two groups were compared and analyzed. Results? ?After treatment， 23 cases （56.10%） were mildly damaged at the injection site， 15 cases （36.59%） were moderately damaged， and 3 cases （7.32%） were severely damaged in the observation group; 7 cases （17.07%） were mildly damaged at the injection site， 21 cases （51.22%） were moderately damaged， and 13 cases （31.71%） were severely damaged in the control group. The degree of damage to the injection site of the observation group was obviously lighter than that in the control group， the difference was statistically significant （P<0.05）. The total effective rate of treatment of the observation group was 92.68%， which was significantly higher than 75.61% of the control group， and the difference was statistically significant （P<0.05）. The degree of injection cooperation of the observation group was 95.12%， which was significantly higher than 80.49% of the control group， and the difference was statistically significant （P<0.05）. Conclusion? ?After replantation of severed limbs， it is better to use two needles and two tubes for injection of papaverine and Dongmian No.1， that is， two kinds of drugs are pushed into two needles respectively， which can effectively reduce the damage to the skin of patients， reduce the pain caused by injection treatment， and improve the success rate of severed limbs replantation.

【Key words】 Papaverine ; Replantation of severed limbs; Different injection methods; Effect

斷肢再植術后使用罌粟堿聯合冬眠1號對患者實施治療的目的在于預防血管痙攣、鎮靜止痛， 以便提高治療成功率和成活率。2種藥物均采用肌內注射的方式， 不同的注射方法對患者的疼痛、腫塊以及硬結等癥狀產生的影響不同， 為有效降低這些不良反應發生率， 本院針對注射時的推藥速度、進針深淺程度等問題進行改善， 但效果不佳[1]?；诖?， 本文分析不同肌內注射方法的臨床治療效果， 詳細內容報告如下。

1 資料與方法

1. 1 一般資料 選取2019年1～12月本院接收的82例斷肢再植術患者作為研究對象， 根據患者意愿將其分為對照組和觀察組， 每組41例。對照組患者中， 男25例， 女16例;年齡20～51歲， 平均年齡（40.3±6.8）歲;觀察組患者中， 男26例， 女15例;年齡22～53歲， 平均年齡（41.6±6.6）歲?！?br>