【摘要】：目的探討不同人種和宗教背景的患者痛閾和鎮(zhèn)痛治療效果的差異。方法選取擇期在靜吸復(fù)合全麻下行腹腔鏡闌尾炎切除術(shù)的18至38歲男性患者48例,采用隨機(jī)單位組3×2析因設(shè)計(jì):將每例入選對象視為1個(gè)單位,對每個(gè)單位設(shè)置2個(gè)影響因素,即所在人種因素(3水平:歐羅巴人種、尼格羅人種、蒙古人種)和宗教背景因素(2水平:信仰宗教、不信仰宗教)的所有組合(共6組,n=8)。所有試驗(yàn)對象實(shí)施相同的麻醉、手術(shù)以及帕瑞昔布鈉術(shù)后鎮(zhèn)痛。在進(jìn)行鎮(zhèn)痛治療前1 h和鎮(zhèn)痛治療后1 h,分別測量其溫度痛閾和電痛閾。結(jié)果鎮(zhèn)痛治療前后,歐羅巴人種較尼格羅人種和蒙古人種痛閾高;有宗教信仰與無宗教信仰受試者的溫度疼痛感知閾和電疼痛感知閾差異均無統(tǒng)計(jì)學(xué)意義(鎮(zhèn)痛治療前:F=251.119,P=0.130,F=275.861,P=0.059;鎮(zhèn)痛治療后:F=308.531,P=0.086,F=180.062,P=0.078);人種和宗教因素對溫度疼痛感知閾和電疼痛感知閾也不具有交互作用(鎮(zhèn)痛治療前:F=13.553,P=0.091,F=22.001,P=0.089;鎮(zhèn)痛治療后:F=4.624,P=0.089,F=15.935,P=0.094)。結(jié)論不同人種的痛閾有一定差異,歐羅巴人種的痛閾最高,尼格羅人種次之,蒙古人種的痛閾最低。有無宗教信仰不能明顯影響個(gè)體的痛閾。
[Abstract]:Objective to explore the difference of pain threshold and analgesic effect in patients with different ethnic and religious backgrounds. Methods 48 male patients between 18 and 38 years of age undergoing laparoscopic appendicitis resection under general anesthesia were selected. The 3 脳 2 factorial design of random unit group was used: each patient was treated as one unit and 2 influencing factors were set up for each unit. That is, all the combinations of human race factors (level 3: Europa, Negroy, Mongol) and religious background (level 2: religious, non-religious) (6 groups, nun8). All subjects were given the same anesthesia, surgery, and postoperative analgesia with paracyclob sodium. The temperature pain threshold and electric pain threshold were measured 1 hour before analgesia treatment and 1 hour after analgesia treatment. Results before and after analgesia treatment, the pain threshold of Europa was higher than that of Negroes and Mongolians. There was no significant difference in temperature pain perception threshold and electrical pain perception threshold between religious and non-religious subjects. After analgesia treatment, FU 308.531 PnP 0.086 FU 180.062 P0.078) and ethnic and religious factors had no interactive effect on temperature pain perception threshold and electric pain perception threshold (before analgesia treatment: FG13.553 P0. 091 FU 22. 001P0.089), and there was no interaction between ethnic and religious factors on temperature pain perception threshold and electrical pain perception threshold (P 0. 089). After analgesic treatment: FG 4.624m, P = 0.089, F = 15.935, P = 0.094). Conclusion there are some differences in pain threshold among different ethnic groups, the pain threshold of Europa is the highest, that of Negroes is the second, and that of Mongolian is the lowest. There is no religious belief can not significantly affect the pain threshold of the individual.
【作者單位】： 南方醫(yī)科大學(xué)附屬南方醫(yī)院麻醉科;中國人民解放軍第452醫(yī)院麻醉科;天津市胸科醫(yī)院麻醉科;
【基金】：中國博士后科學(xué)基金(2013M530880)~~
【分類號】：R614.2

【共引文獻(xiàn)】

相關(guān)期刊論文 前10條

1 葉雷;劉U，

本文編號：2296013