在紧急创伤患者中,患病率和与急性疼痛相关的因素
Elias Alemayehu Worku1, Habtu Adane Aytolign1, Zemenay Ayinie Mekonnen1
1Department of Anaesthesia, School of Medicine, Gondar College of Medicine and Health Sciences, University of Gondar, Amhara 196, Ethiopia.
World journal of emergency medicine
|February 2, 2026
概括
急性疼痛在紧急创伤患者中非常普遍. 早期止痛和非药物方法对于管理创伤护理中的疼痛至关重要.
科学领域:
- 紧急医疗 紧急医疗
- 创伤护理 创伤护理
- 疼痛管理 疼痛管理
背景情况:
- 急性疼痛是一种常见的,受伤后的主观经历.
- 在创伤患者中,不受控制的急性疼痛会损害呼吸功能,免疫反应和伤口愈合.
- 有效的急性疼痛管理是创伤护理中的重大公共卫生问题.
研究的目的:
- 为了确定急性疼痛在紧急创伤患者中的患病率.
- 为了确定与该人群中急性疼痛经历相关的因素.
主要方法:
- 一项涉及397名急救创伤患者的多中心横截面研究.
- 通过采访员管理的问卷和患者病历审查收集数据.
- 使用双变量和多变量逻辑回归 (P<0.05) 的统计分析.
主要成果:
- 在入院后观察到急性疼痛的高患病率 (91.9%).
- 与急性疼痛相关的因素包括形创伤,急诊室前止痛,记录的疼痛严重程度,及时的入院后止痛,非药物止痛和止痛可用性.
- 特定调整的赔率比率 (aOR) 突出了这些因素的重要关联.
结论:
- 研究区域在紧急创伤患者中表现出高频率的急性疼痛.
- 建议包括在急诊室入院前给予止痛药,并整合非药物治疗的疼痛管理策略.
- 对医疗保健提供者进行关于在紧急情况下疼痛评估和管理的加强培训是必不可少的.
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