PAIN INTENSITY OF PATIENTS DURING REHABILITATION AFTER MINE BLAST WOUNDS

V. Horoshko, I. Kuchyn
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Abstract

In 83.3 % of cases, patients who received mine blast wounds suffer from chronic pain. Such injuries are characterized by significant damage. Data on the treatment of pain during rehabilitation are presented by several clinical cases. Therefore, a broader coverage of this issue will be of some importance for the perspective of further research in this direction. The goal of the work. To investigate the results of pain treatment in patients after mine blast wounds at the rehabilitation stage. Methods. The treatment of 280 patients with mine blast wounds during rehabilitation was analyzed. The intensity of pain was diagnosed using a visual analog scale. Statistical methods: Shapiro-Wilk, Mann-Whitney, Friedman, chi-square, Bonferroni corrections, absolute frequency of the symptom and relative frequency (%). When analyzing the data in all cases, the critical significance level was 0.05. Results. Patients after mine blast wounds, both at the time of discharge from inpatient treatment and during rehabilitation, still experienced pain intensity of 2 points, which in the future transformed into chronic pain. After 1, 3 and 6 months after treatment, it was found that the intensity of pain in groups 1 and 2 did not differ statistically (р=0.488, р=0.876, р=0.165, respectively), but after 12 months – statistically differed (р=0.035) and in group 2 were higher than in group 1. Conclusions. Based on the obtained data, it can be concluded that during discharge from inpatient treatment, rehabilitation and within 12 months after treatment, the patients felt pain, albeit weak. The lack of further effective treatment can cause a whole cascade of negative consequences.
地雷炸伤患者康复过程中的疼痛强度
在83.3%的病例中,接受地雷爆炸伤的患者患有慢性疼痛。这种伤害的特点是严重的损伤。关于康复期间疼痛治疗的数据由几个临床病例提出。因此,对这一问题进行更广泛的报道,将对这一方向的进一步研究具有一定的意义。工作的目标。探讨地雷爆炸伤患者康复期疼痛治疗效果。方法。对280例地雷炸伤患者的康复治疗进行了分析。疼痛强度采用视觉模拟量表进行诊断。统计方法:Shapiro-Wilk, Mann-Whitney, Friedman,卡方,Bonferroni校正,症状的绝对频率和相对频率(%)。在分析所有病例的数据时,临界显著性水平为0.05。结果。地雷爆炸伤患者在出院和康复时,疼痛强度仍为2分,并在未来转变为慢性疼痛。治疗后1、3、6个月,1、2组疼痛强度差异无统计学意义(分别为0.488、0.876、0.165),12个月后差异有统计学意义(0.035),且2组疼痛强度高于1组。结论。根据获得的数据,可以得出结论,在住院治疗出院期间,康复期间以及治疗后12个月内,患者感到疼痛,尽管虚弱。缺乏进一步的有效治疗可能会导致一连串的负面后果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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