The effect of active pain management and medication analgesia on the incidence of vascular crisis in patients after finger replantation surgery
主动疼痛管理与被动用药镇痛法对断指再植术后患者血管危象发生率的影响

摘要

目的 本研究旨在比较主动疼痛管理与被动用药镇痛法对断指再植术后患者血管危象发生率的影响。方法 在2023年3月至2024年3月期间，选取50例断指再植术后患者作为研究对象。经过随机数字表法分为实验组与对照组，每组25例。对照组采取被动用药镇痛法，实验组采取主动疼痛管理。对比两组疼痛程度、血管危象发生率、生活质量以及情绪状态。结果 实验组VAS疼痛评分、血管危象发生率、SAS、SDS评分低于对照组，患者生活质量高于对照组（P＜0.05）。结论 主动疼痛管理相比被动用药镇痛法能更有效地控制断指再植术后患者的疼痛，并降低血管危象的发生率，提高生活质量，缓解其负面情绪。

Abstract

Objective This study aims to compare the effects of active pain management and medication analgesia on the incidence of vascular crisis in patients after finger replantation surgery.
Methods From March 2023 to March 2024, 50 patients who underwent finger replantation surgery were selected as the study subjects. Divided into an experimental group and a control group using a random number table method, with 25 cases in each group. The control group was treated with painkillers, while the experimental group was treated with active pain management. Compare the degree of pain, incidence of vascular crisis, quality of life, and emotional status between two groups.
Results The VAS pain score, incidence of vascular crisis, SAS and SDS scores in the experimental group were lower than those in the control group, and the quality of life of patients was higher than that of the control group (P<0.05).
Conclusion   Active pain management is more effective in controlling pain in patients after finger replantation, reducing the incidence of vascular crisis, improving quality of life, and alleviating negative emotions compared to medication induced analgesia.