局部芝麻油对肢体创伤患者疼痛程度的影响:一项随机对照试验

Mina Kafash Mohammadjani MSN , Fateme Jafaraghaee PhD , Fatemeh Yosefbeyk PhD , Ehsan Kazem Nejad PhD , Nazila Javadi-Pashaki PhD
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引用次数: 0

摘要

目的探讨局部应用香油对肢体创伤患者疼痛程度的影响。方法对创伤急诊科收治的120例非穿透性上肢和下肢创伤患者进行安慰剂对照随机对照试验。根据创伤大小和年龄,采用分层随机抽样技术将患者分为麻油组和安慰剂组。根据创伤部位的不同,将芝麻油或安慰剂油倒在创伤部位,按摩5 ~ 7分钟。干预在家中每天重复两次,持续3天。在干预前第一天和每次干预后30分钟采用数字疼痛量表测量疼痛严重程度,持续3天,每天2次。数据分析采用描述性检验和分析性检验,包括独立t检验、χ2检验、Fisher精确检验、Mann-Whitney U检验、Friedman检验和多元线性回归分析。显著性水平设为0.05。结果干预组和安慰剂组疼痛程度均有显著下降趋势(P <措施)。比较两组患者疼痛评分变化趋势发现,干预组患者疼痛严重程度的平均变化均高于安慰剂组。与安慰剂组相比,干预组的镇痛药消耗率有显著差异(P <措施)。然而,两组在疼痛严重程度上没有显著差异。减少痛苦与身体质量指数负相关(b = -0.091,P = .003),金额收到止痛药(b = -0.001,P = .039),和地区创伤(b = -0.002,P = .039)。男性患者疼痛减轻程度大于女性患者(b = 0.676,P = .015)。麻油对疼痛变化的影响不显著。无不良副作用报告。结论本研究显示,尽管干预组镇痛药的使用少于安慰剂组,但香油对肢体创伤疼痛严重程度的影响无统计学意义。局部应用芝麻油作为一种安全、简单的干预措施对疼痛的影响需要进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of Topical Sesame Oil on the Severity of Pain in Patients With Limb Trauma: A Randomized Controlled Trial

Objective

The purpose of this study was to investigate the effect of topical use of sesame oil on pain severity in patients with limb trauma.

Methods

A placebo-controlled randomized controlled trial was conducted on 120 patients with nonpenetrating upper and lower limb traumas admitted to the trauma emergency department. The patients were allocated to either the sesame oil group or the placebo group using the stratified random sampling technique based on trauma size and age. Depending on the trauma area, sesame or placebo oil were poured on the trauma site and massaged for 5 to 7 minutes. The intervention was repeated twice a day for 3 days at home. Pain severity was measured using the numeric pain scale before intervention on the first day and 30 minutes after each intervention for 3 days, twice a day. Data were analyzed using descriptive and analytical tests including the independent t test, χ2 test, Fisher exact test, Mann-Whitney U test, Friedman test, and multiple linear regression analysis. The significance level was set at 0.05.

Results

The decreasing trend of pain was significant in both the intervention and placebo groups (P < .001). Comparison of the trend of changes in pain scores between the 2 groups showed that the mean changes of pain severity were higher in the intervention group compared with the placebo group in all assessments. There was a significant difference in the rate of analgesic consumption in the intervention group compared with the placebo group (P < .001). However, there was no significant difference between the 2 groups regarding pain severity. Pain reduction was negatively associated with body mass index (b = –0.091, P = .003), amount of received pain medication (b = –0.001, P = .039), and area of trauma (b = –0.002, P = .039). Pain reduction was greater in male patients than female patients (b = 0.676, P = .015). The effect of sesame oil on pain changes was not significant. No adverse side effects were reported.

Conclusion

This study showed that despite less use of analgesics in the intervention group than in the placebo group, sesame oil did not have any statistically significant effects on the severity of limb trauma pain. Further research is needed regarding the effect of topical sesame oil application on pain as a safe and uncomplicated intervention.

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