Effect of Touching on Alleviating the Pain in Patients Undergoing Epidural Anesthesia Puncture_West China Medical Journal

Authors：

ZHANG Xiaoxu , ZOU Yulan , HE Dehai , CHEN Qian

the Second People’s Hospital of Guangyuan, Sichuan 628017, P.R. China;

Corresponding author：

Keywords：

抚触; 硬膜外麻醉穿刺; 疼痛

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【摘要】　目的　评价抚触对硬膜外麻醉穿刺疼痛的影响及效果。　方法　 2009年1-12月，将485例行硬膜外麻醉穿刺患者随机分为抚触组（术中行抚触干预）和对照组（常规护理），观察两组患者的穿刺程度、穿刺时间。　结果　抚触组患者疼痛程度、穿刺时间较对照组有明显改善，且差异有统计学意义（P lt;0.01）。　结论　抚触可降低应激引起的硬膜外麻醉穿刺患者的疼痛程度，保持穿刺体位从而缩短穿刺时间，有利于麻醉操作顺利进行。
【Abstract】　Objective　 To evaluate the effect of touching on alleviating the pain in patients undergoing epidural anesthesia puncture.　Methods　 A total of 485 patients who underwent epidural puncture from January to December 2009 were randomly divided into two groups: 259 in touching group and 226 in control group. In the touching group, the patients were touched and consoled while undergoing epidural puncture. The pain extent and time of puncture were observed and recorded.　Results　 The level of pain and time of puncture were obviously alleviated and shortened in the touching group and the difference between the two groups was statistically significant.　Conclusion　 Touching could reduce the stress and pain caused by epidural puncture, which may lead to maintain the puncture position and thereby shorten the puncture time. It helps to finish the narcotic operation favorably.

Citation： ZHANG Xiaoxu,ZOU Yulan,HE Dehai,CHEN Qian. Effect of Touching on Alleviating the Pain in Patients Undergoing Epidural Anesthesia Puncture. West China Medical Journal, 2011, 26(1): 97-98. doi: Copy

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1. 　雪丽霜, 叶梅燕, 杨巧玲, 等. 婴儿抚触的研究进展[J]. 护士进修杂志, 2001, 16(10): 728-729.
2. 　陈贵英. 抚触对缓解人工流产者术中疼痛的效果观察[J]. 解放军护理杂志, 2005, 22(9): 23-24.
3. 　徐素华, 孙业安, 吴汉玉. 抚触对缓解椎间盘激光汽化术中患者疼痛的作用[J]. 中华护理杂志, 2009(8): 750-751.
4. 　钟勤. 社会发展是健康的需求[J]. 中华护理杂志, 2000, 35(6): 365.
5. 　庄心良, 曾因明, 陈伯銮. 现代麻醉学[M]. 北京: 人民卫生出版社, 2005: 2547.
6. 　邹恂. 现代护理新概念与相关理论[M]. 北京: 北京大学医学出版社, 2004: 92.
7. 　Schanberg SM, Field TM. Sensory deprivation stress and supplemental stimulation in the rat pup[J]. Child Dev, 1987, 58(6): 1431-1447.
8. 　Field T. Massage therapy for infants and childen[J]. J Dev Behan Pedeatr, 1995, 16(2): 105-111.
9. 　Mokashi A, Leatherbarrow B, Kincey J, et al. Patient communication during cataractsurgery[J]. Eye, 2004, 18(2): 147-151.
10. 　Oh HJ, Park JS. Effects of hand massage and handholding on the anxiety in patients with local infiltration anesthesia[J]. TaehanKanho Hakhoe Chi, 2004, 34(6): 924-933.
11. 　Kuhn CM, Schanberg S, Field T, et al. Tactilekinesthetic stimulation effect on sympathetic and adrenocortical function in preterm infants[J]. J Pediatr, 1991, 119(3): 434-440.

West China Medical Journal

Effect of Touching on Alleviating the Pain in Patients Undergoing Epidural Anesthesia Puncture

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