摘要
目的观察不同体表部位贴敷芬太尼对晚期癌症病人镇痛效果的比较，选出最佳部位。方法选择不同体表部位并分组，使用红外非接触体温计，记录及比较这些部位贴敷芬太尼前表面温度和敷贴后的起效时间，止痛时间，找出差异。结果横向比较后发现腋下、前胸、颈部、四肢和背部组的体表温度差异明显，其中颈部和腋下这两个温度较高的地方在起效时间上明显短于其它部位，二者P值均小于0．05，有显著的统计学意义，而且出现突发性疼痛的次数较其它为少。结论体表温度是影响该药物作用效果的因素之一，推荐腋下部位。
Objective To compare the effect of fentanyl sticked on different positions of the body surface. Methods Non-contact thermometer was adopted to choose different positions of the body surface and the temperatures at different surfaces through the infrared ray were measured. The time for initiating effect, duration of pain-stopping was compared. Results Compared horizontally, temperatures under the armpit, protothorax, neck, four extremities and back were different apparently. The time for initiating effect at the part of armpit and neck with higher temperature was apparently short than other parts （P〈0.05）. The frequency occurring outbreaking pain was less than other parts and the best position can be determined. Conclusions The time for initiating effect, duration of pain-stopping are obviously different on different position.
出处
《世界肿瘤杂志》
2007年第3期171-173,共3页
Tumour Journal of the World
关键词
芬太尼
部位
体表温度
Fentanyl
temperature of the body surface
comparison
