With the development of society and the improvement of living standards, people are no longer satisfied with the painlessness of surgery, but more look forward to the entire medical process from examination to treatment can be completed painlessly, and comfortable medical treatment has become a new trend of medical services. Do you know what "comfort medicine" is? Come and listen to what Li Bo, director of the Anesthesiology Department of Fangta Traditional Chinese Medicine Hospital in Songjiang District, said ↓
What is Comfort Medicine?
Anesthesiology is the leading discipline to achieve comfort medicine, anesthesiologists take a variety of advanced anesthesia, analgesic techniques, eliminate the pain and tension of patients receiving invasive examination or treatment, and integrate comfort medicine into nursing, hospice care, painless diagnosis and treatment, perioperative comfort management, pain management and other aspects, so that patients can easily receive examination and treatment.
What does comfort medicine include?
Comfort medicine includes four aspects: physical, psychological, social and environmental. Refers to helping patients eliminate discomfort and pain, reduce complications, give patients comfort, relieve anxiety, provide patients with relevant knowledge, and pass on hope during the patient's visit. To sum up, "Comfort medicine is to allow patients to carry out medical examinations and treatment in a safe and comfortable state, so that patients can feel a sense of psychological and physiological pleasure, painlessness and fear throughout the medical treatment process." ”
What are the comfort treatment programs?
Application areas of comfort medicine: nursing, hospice care, painless diagnosis and treatment, perioperative comfort management, pain management. At present, the comfort diagnosis and treatment projects that Can be carried out by Fangta Chinese Medicine Hospital include: postoperative analgesia, painless gynecological abortion, painless ring removal, painless gastrointestinal endoscopy and treatment. Other hospitals also carry out painless delivery, painless cystoscopy, cancer treatment, painless interventional therapy, such as painless retrograde cholangiopancreatography (ERCP) and so on. There are also painless techniques used in pediatric dentistry, burn departments, radiological interventions and so on.
What are the comfort treatments in gynecology?
These include painless abortion, painless upper ring, and ring removal surgery anesthesia. Because most patients during surgery are nervous, psychological fear, some people will have abortion syndrome, abortion syndrome is the patient in the abortion surgery or after the operation of nausea, vomiting, dizziness, chest tightness, asthma, sweating, limbs cold, blood pressure drop, arrhythmia, etc., severe cases may also appear convulsions, syncope and a series of symptoms, which is mainly due to the stimulation of the cervix and uterine cavity caused by surgery to cause autonomic nervous system dysfunction, coupled with abnormal fluctuations in the patient's spirit and emotions after surgery. Adequate analgesia and adequate anesthesia can greatly reduce such complications.
What are the comfort medicines available in urology?
It is now commonly used in painless cystoscopy and painless circumcision. We all know that phimosis is a common phenomenon in children, phimosis has a great impact on the development of the penis, there will be dirt and easy to appear foul odor, hidden bacteria caused by infection, in view of the characteristics of children's fear psychology is heavy, it is difficult to cooperate with surgery, so painless circumcision is particularly important and the success rate is high, the entire surgical formation only takes 20 minutes, the appearance is neat and beautiful, which is conducive to health, health care, development, and significantly improves the quality of life. No side effects, safe and convenient, with treatment, does not affect daily activities, learning.
What are the comfort medicines in gastroenterology?
In recent years, the use rate of gastrointestinal endoscopy is getting higher and higher, there are many people in life because of improper diet and poor lifestyle leading to gastrointestinal damage, and in this case, the use rate of gastrointestinal endoscopy is getting higher and higher, in the project of gastrointestinal endoscopy painless gastrointestinal endoscopy is favored by the people of all ethnic groups: nap for a few minutes 0 pain 0 injury, easy to complete the examination and treatment, can be early detection, early diagnosis, early treatment, early rehabilitation.
Painless gastrointestinal endoscopy has four advantages
Painless: Patients do not have any discomfort during examination and treatment, and painless gastroscopy and painless colonoscopy are ideal choices for patients with nervous stress and fear of gastrointestinal endoscopy.
Minimal trauma: Under painless electronic gastroscopy, multiple minimally invasive treatments can be performed for gastrointestinal bleeding, polyps, and ulcer stenosis, so that patients are exempt from surgical surgery.
Short time: Excludes the preparation time before the test, which can be completed within a few minutes from the beginning of the test.
More electronic: Electronic gastrointestinal endoscopy has advantages that cannot be replaced by other examination methods at present, especially some small lesions and even lesions of the mucosal layer, which can be clearly diagnosed.
Side effects of intravenous general anesthesia (propofol) on the human body
Propofol is a narcotic drug (commonly known as small milk), mainly used for anesthesia in surgical patients, and also has a certain inhibitory effect on refractory epilepsy, and propofol may also have side effects during use:
1. It is more common to experience local pain during the induction period of anesthesia;
2. Hypotension reaction may occur during use, and bradycardia may also occur;
3. Too fast a bolus may cause transient apnea during the induction period;
4. For some patients, gastrointestinal reactions such as nausea and vomiting during anesthesia resuscitation may also occur;
5. Patients may also experience pain during resuscitation;
6. Adverse reactions are relatively rare, such as thrombosis and phlebitis may occur after use by patients.
In short, propofol in the operation of patients when anesthesia most patients are tolerated, the advantages outweigh the disadvantages, is safe, but in the use of the process should be closely monitored the patient's response, once there is a suspicious reaction, should be taken in time to take appropriate measures.
What are the precautions before painless gastrointestinal endoscopy?
Generally, before the painless gastroscopy, it is necessary to fast and drink, that is, not to eat or drink water, at least 4 hours. If you have eaten mixed foods before, you should fast for more than 6 hours; if you have eaten foods with high fat, you need to fast for more than 8 hours to ensure the emptying of the stomach cavity and ensure medical safety, so as to avoid regurgitation to the esophagus and even the mouth due to food residues, water and other contents under anesthesia, resulting in aspiration and suffocation. Therefore, in order to ensure patient safety, it is recommended to fast for more than 4 hours before painless gastrososcopy.
About painless childbirth
Is "painless childbirth" a comfortable diagnosis and treatment?
The pain of natural childbirth is the second most painful pain besides burns, which is unbearable for many women. "Painless delivery" is a very important project in the comfort diagnosis and treatment, painless delivery is conducive to maternal and infant safety, for various reasons in China, this proportion is only about 10%, the prevalence of painless delivery in Europe and the United States is quite high, up to more than 85%.
How many ways are there to give birth painlessly?
Painless childbirth is actually a general term for non-pharmacological and pharmacological analgesic methods used in the natural delivery process. Specifically, it includes non-pharmacological breathing methods, mental comfort methods and underwater delivery methods, as well as drug-based laughing gas inhalation methods, intramuscular analgesic drugs, spinal canal delivery analgesia methods, etc. At present, the most accurate analgesic effect is the intraspinal delivery analgesia. Spinal canal delivery analgesia technology, with a history of nearly 100 years, is recognized by the international anesthesia community as the most reliable analgesic effect, the most widely used childbirth analgesia method, analgesia has analgesic efficiency of more than 95%.
Does the use of anesthetics during painless delivery have an effect on the fetus?
The first thing to note is that anesthesia is used during painless delivery and caesarean section surgery and does not affect the fetus. The reason is that the drug used is directly injected into the spinal canal, rather than through the vein, the amount of medicine to the maternal circulation, through the placenta into the child's body of the drug is minimal, the second purpose is to alleviate the severe pain caused by uterine contraction during childbirth, the anesthetic used, the dosage and concentration are very low, far lower than the caesarean section anesthesia (generally 1/6-1/7), the half-life is very short, the metabolism is also very fast, will not produce accumulation effect, in the production and cesarean section surgery when the use of anesthetics will not have an impact on the fetus.
Does a painless delivery affect activity?
Painless childbirth is just analgesia, not anesthesia! During caesarean section anesthesia, both lower limbs cannot be lifted; the concentration of anesthetics used in painless delivery is very low, only blocking the feeling of pain, and has no blocking effect on motor behavior (such as walking, contractions, breath-holding force and excretion, etc.), and 99.1% of women can walk on the ground.
Is painless childbirth right for everyone?
Although painless childbirth has few disadvantages and is safe and reliable, not everyone is suitable for painless childbirth. Most mothers are suitable for painless delivery, but women with pregnancy complications, allergies to narcotic drugs, a history of trauma to the lower back, injuries to the puncture site of individuals, lumbar deformities or previous lumbar surgery, prenatal bleeding, shock, and coagulation problems cannot give birth painlessly. As well as some obstetric diseases, can not be beaten. Therefore, the mother should consult with the doctor, who will decide whether it is possible to have a painless delivery according to the specific situation of the mother.
Text, Audio: Wang Weiwei
Editor: Zhou Yuwei