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凯纷在甲状腺切除术后静脉镇痛中的效果观察及护理 被引量:1

Application of intravenous flurbiprofen axeyil injection in post-thyroidectomy analgesia
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摘要 目的观察凯纷复合小剂量芬太尼在甲状腺手术后静脉镇痛的疗效及护理方法。方法将60例ASA(Americall Society of Anesthesiologists)Ⅰ-Ⅱ级择期行甲状腺切除术,术毕行静脉自控镇痛(patient-contrlled intravenous analgesia,PCIA)患者,随机分为两组。Ⅰ组采用凯纷100mg+芬太尼0.375mg+0.9%NaCl共100ml,Ⅱ组采用芬太尼1.0mg+0.9%NaCl共100ml。观察术后2h.4h.8h、12h、18h及24h的VAS评分,PCIA使用次数及不良反应的发生情况。结果术后VAS评分、PCIA使用次数两组比较无显著性差异;两组术后不良反应的发生情况存在统计学差异,其中Ⅰ组患者术后恶心、呕吐、头晕、头痛等的发生率明显低于Ⅱ组(P〈0.05)。结论凯纷复合芬太尼行术后静脉镇痛,可明显减少芬太尼的用量并降低不良反应发生率。而注意生命体征的变化,做好不良反应的护理及加强心理护理是应用PCIA的观察及护理重点。 Objective To study the effects of postoperative analgesia with flurbiprofen axeyil injection combined with a small dose fentanyl in patients undergoing thyroidectomy. Methods 60 cases of ASA ( American Society of Anesthesiologists) Ⅰ -Ⅱ level patients who received patient-contrlled intravenous analgesia (PCIA) , scheduled for thyroidectomy were randomly divided into two groups equally: group Ⅰ was administrated with flurbiprofen axeyil 100 mg plus fentanyl 0. 375 mg and group Ⅱ with fentanyl 1.0 mg. The drugs in both groups were diluted 100ml and infused by a pump at a rate of 2ml/h with a patient-controlled bolus of 2 ml. The visual analog scale (VAS) , times of PCIA and incidence of side effects were recorded at 2 h, 4 h, 8 h, 12 h, 18 h and 24 h after operation. Results There was no significant difference between the two groups in VAS and the times of PCIA 24h after operation. The aceidenees of nausea, vomiting, itching, somnolence in group Ⅰ were significandy less than in group Ⅱ (P 〈 0.01 ). Conclusion Postoperative analgesia with flurbiprofen axeyil injection combined with a small dose fentanyl can reduce fentanyl requirement and its side effects. The key care points exist in close observation of vital signs, timely care of side effect, and enhanced mental care.
出处 《现代临床护理》 2007年第4期62-64,共3页 Modern Clinical Nursing
关键词 镇痛药 凯纷 芬太尼 护理 甲状腺手术 analgesia flurbiprofen axeyil fentanyl nursing thyroidectomy
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