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| | To explore the effects on delivery analgesia of Han Analgesic Neurological Stimulation apparatus (HANS) combined with Qumaduo and psychological nursing, 120 parturients who were already in active stage of delivery were divided into 4 groups randomly. Parturients in group A used HANS plus Qumaduo intramuscular injection and psychological nursing. Parturient in Group B were given Qumaduo intramuscular injection plus psychological nursing. Parturients in group C were as control,and parturients of group D were ... | | 为探讨韩式神经电刺激镇痛仪 (HANS)联合曲马多与心理护理在分娩镇痛中的作用 ,将产程进入活跃期的 12 0例孕妇随机分为 4组。A组使用 HANS加肌肉注射曲马多及心理护理 ;B组肌肉注射曲马多加心理护理 ;C组为空白对照组 ;D组给予单纯心理护理。采用视觉模拟评分法 (VAS)及疼痛分级法观察 4组病人镇痛效果 ,并观察镇痛对产程的影响。结果 :A组镇痛效果明显优于其他 3组 ,产程 4组之间差异无显著性。提示 ,HANS联合曲马多及心理护理用于分娩镇痛效果较好 | | 文摘来源 | | Objective To evaluate the effect of combination of HANS (Han's Acupoint Nerve Stimulator) and diazepam(D) or tramadol(T) on labor pain and influence on mother and infant. Methods Two-hundred and seventy normal term pregnancy and primipara with single vertex presentation were randomly divided into six groups, HANS+D ((HANS plus diazepam 10mg, iv), HANS, D(diazepam 10 mg, iv), HANS +T (HANS plus tramadol 100mg, im), T (tramadol 100mg, im) and control group . Pain relief methods were given when the cervix d... | | 目的 应用韩氏神经电刺激镇痛仪 (HANS) ,配伍用地西泮、曲马多 ,观察对分娩疼痛的镇痛效果和对母婴的影响。 方法 2 70例足月、单胎、正常初产妇在宫口开大 2~ 3cm时 ,随机分为 6组 ,即 HANS+地西泮 (10 m g iv)、HANS、地西泮 (10 mg iv)、HANS+曲马多 (10 0 mg im)、曲马多 (10 0 mg im)和对照组。采用 VAS疼痛评分方法分别在镇痛前后不同阶段评分。 结果 HANS+地西泮组镇痛有效率最高为 90 .3% ,其次 ,HANS+曲马多 78.9% ,HANS组 5 9.8%。针药复合组在镇痛后 1h、第一产程末期及第二产程时 VAS评分均较镇痛前明显降低 (P<0 .0 1)。与对照组各期相比 ,有非常显著的统计学差异。反映产程生理和胎婴儿状态的指标差异无显著性。 结论 应用电刺激镇痛仪加少量镇静镇痛药物 (地西泮或曲马多 ) ,有良好的镇痛效果 ,对母婴无不良影响 ,方法简便、经济 ,适于推广。 | | 文摘来源 | | Objective To evaluate the effect of electronic dental analgesia (EDA) device --Team Up~ Duo during ultrasonic scaling. Methods The clinical trial was conducted as a randomized double-blind split-mouth design. Eighty-one patients requiring ultrasonic scaling were selected as subjects. Patients received treatment using the EDA device either in an active or an inactive state in paired quadrants. The patients scored their pain/discomfort levels with visual analog scale (VAS) after each procedure and filled a q... | | 目的评价电子镇痛仪在超声洁治术中的镇痛作用。方法将81例(包括慢性牙周炎患者49例,龈炎患者32例)需要进行超声洁治的牙周病患者,按随机原则在其上、下颌各选一侧使用电子镇痛仪,另一侧作为自身对照。患者和治疗医师均双盲。采用视觉模拟量表,请患者为4个象限的治疗感受打分,同时做问卷调查评价其主观疗效。结果问卷调查中,79·0%的受试者认为电子镇痛仪有减轻疼痛的作用,而双盲实际检测的有效率为46·9%。将所有患者根据有无附着丧失分组,慢性牙周炎组又按性别、年龄和部位分组,组间的有效率差异均无统计学意义。结论电子镇痛仪能有效减轻部分患者超声洁治术中的牙齿酸痛、不适,主观感觉疼痛减轻的患者数远多于双盲实际检测出的有效人数,说明电子镇痛仪的镇痛效果具有一定的安慰剂效应。 | | 文摘来源 | |   |
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