小剂量吗啡内关穴注射治疗急性心肌梗死之胸痛

发布时间：2018-02-22 09:50

本文关键词： 穴内关穴位注射吗啡心肌梗塞胸痛针刺镇痛　出处：《中国针灸》2008年09期 　论文类型：期刊论文

【摘要】：目的:探寻治疗急性心梗胸痛时吗啡的有效注射途径。方法:将临床确诊为心肌梗死的患者90例随机分为3组,每组30例。穴位注射组行双侧内关穴分别注射吗啡2 mg,静脉注射组采用吗啡5 mg静脉注射,皮下注射组采用吗啡5 mg皮下注射,其他治疗3组相同。采用视觉模拟评分法(VAS)观察3组病人治疗5、10、30、60、180 min后镇痛效果,并记录并发症。结果:治疗前3组VAS评分比较差异无统计学意义(均P0.05);治疗后5 min、30 min、180 min镇痛效果穴位注射组优于其他2组(均P0.01);穴位注射组恶心、呕吐发生率为3.3%,低于静脉注射组的40.0%和皮下注射组的20.0%(均P0.01)。结论:小剂量吗啡内关穴注射治疗急性心梗时的胸痛疗效确切,镇痛效果好,吗啡用量少,镇痛时间长,吗啡并发症少。
[Abstract]:Objective: to explore the effective injection of morphine in the treatment of acute myocardial infarction. Methods: 90 patients with acute myocardial infarction were randomly divided into 3 groups. There were 30 cases in each group. The acupoint injection group received 2 mg morphine injection, the intravenous injection group received 5 mg morphine intravenously, and the subcutaneous injection group received 5 mg morphine subcutaneous injection. Visual analogue score (VAS) was used to observe the analgesic effect of the three groups after treatment of 5o 10 and 30g for 60180 min, and the analgesic effect was observed by visual analogue score (VAS). Results: there was no significant difference in VAS score between the three groups before treatment (all P 0.05), the analgesic effect of acupoint injection group was better than that of other two groups (P 0.01), and the analgesic effect of acupoint injection group was better than that of other two groups (P 0.01), and the analgesic effect of acupoint injection group was better than that of other two groups (P 0.01). The incidence of vomiting was 3. 3%, which was lower than 40.0% in intravenous injection group and 20. 0 in subcutaneous injection group (all P 0. 01). Conclusion: low dose morphine injection at Neiguan point is effective in the treatment of chest pain of acute myocardial infarction, the analgesic effect is good, the dosage of morphine is less, and the analgesia time is long. Morphine has less complications.
【作者单位】：河北北方学院附属第二医院心内科;
【分类号】：R246.1

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