摘要
目的分析自控型止痛泵和盐酸曲马朵静脉注射在妇产科术后镇痛的应用效果,并对护理对策进行总结。方法将2012年1月—2014年12月来该科进行妇产科手术的80例作为研究对象,随机分为二组,每组40例。分别使用自控型止痛泵以及盐酸曲马朵静脉注射镇痛,并采取了全面的护理干预,对其手术后各时间点患者的VAS以及Ramsay评分进行评价比较。结果观察组妇产科手术患者在术后4、8、12、24以及36h时的VAS评分显著低于对照组,而在4、8、12以及24h时的Ramsay评分显著低于对照组,观察组在术后的36h时在心理以及生理等方面的舒适度评分均明显的高于对照组,差异具有统计学意义(P<0.05)。结论 PCA与全面的护理措施在降低妇产科术后的疼痛程度,提高镇静效果方面有明显的优势。
Objective To contrast the analgesic effect of patient controlled analgesia and Tramadol hydrochloride venous inflow after obstetrics and gynecology surgery,and to summarize the nursing.MethodsFrom January 2012 to December 2014,a total of 80 cases patients with gynecology diseases for surgery were collected in the hospital.They were randomly divided into two groups on average;self-controlled analgesia pump and venous inflow Tramadol hydrochloride were used respectively,and conducted a nursing intervention and compared the VAS and Ramsay score at different time points after surgery.Results The VAS score of the observation group patients at 4,8,12,24 and 36 h after surgery was significantly lower than the control group,and the VAS score at 4,8,12 and 24 h was significantly lower than the control group.The comfort scores for the observation group after postoperative 36 hours in psychology and physiological aspects were significantly higher,the difference was statistically significant（P 〈0.05.ConclusionPCA and comprehensive care measures has an obvious advantage in obstetrics and gynecology to reduce postoperative pain and improve the effect of the sedative.
出处
《中国煤炭工业医学杂志》
2015年第11期1916-1919,共4页
Chinese Journal of Coal Industry Medicine
基金
国家自然科学基金项目(编号:30671760)
关键词
术后镇痛
自控止痛
盐酸曲马朵
护理
Postoperative analgesia
Patient controlled analgesia
Tramadol hydrochloride
Nursing
