摘要
目的观察综合护理配合氟比洛芬酯超前镇痛用于妇科腹腔镜手术的效果。方法选择医院妇科2014年2月至2016年2月诊断为良性子宫肌瘤并择期行腹腔镜手术、美国麻醉医师协会(ASA)分级为Ⅰ~Ⅱ级的患者96例,按随机数字表法分为对照组和观察组,各48例。对照组患者在麻醉诱导前静脉注射氟比洛芬酯1 mg/kg,观察组患者在对照组镇痛基础上给予综合护理,比较两组患者入室前(T0)、麻醉时(T1)、术毕时(T2)、拔管时(T3)及术后1 d(T4)的血流动力学变化,术后唤醒时间与拔管后Ramsay镇静评分。结果两组患者T0和T4时间点心率(HR)、平均动脉压(MAP)、动脉血氧饱和度(Sp O2)均无显著性差异(P>0.05);T1,T2,T3时间点观察组患者HR,MAP,Sp O2均显著低于对照组(P<0.05);观察组患者术后唤醒时间与对照组无显著性差异(P>0.05),拔管后Ramsay镇静评分显著高于对照组(P<0.05)。结论综合护理配合氟比洛芬酯超前镇痛可有效改善妇科腹腔镜手术患者血流动力学变化,且镇静效果明显。
Objective To observe the effect of comprehensive nursing combined with preemptive analgesia with flurbiprofen axetil for treating gynecological laparoscopic surgery. Methods Totally 96 patients with grade Ⅰ - Ⅱ of the American Society of Anesthesiologists （ASA） classification underwent elective gynecological laparoscopic surgery and diagnosed benign uterine fibroid in our hospital from February 2014 to February 2016 were selected and divided into the control group and the observation group according to the random number table method ,48 cases in each group. The control group was treated with intravenous injection of flurbiprofen axetil 1 mg/kg before anesthesia induction, on this basis, the observation group was given comprehensive nursing. The hemodynamic changes before ad-mission （T0）, during anesthesia （T1）, at the end of surgery （T2） , at extubation （T3） and 1d after surgery （T4）, postoperative awaking time and Ramsay sedation score after extubation were observed and compared between the two groups. Results There was no significant difference in heart rate （HR） and mean arterial pressure （MAP） and SpO2 between the two groups at T0 and T4 （ P 〉 0. 05）. The levels of HR,MAP and SpO2 of the observation group at T1,T2 and T3 were significantly lower than those of the control group （P 〈 0. 05）. There was no significant difference in the postoperative awaking time between the observation group and the control group （P 〉 0.05） , and the Ramsay sedation score after extubation was significantly higher than that of the control group （ P 〈 0. 05）. Conclusion Compre-hensive nursing combined with preemptive analgesia with flurbiprofen axetil can effectively improve hemodynamic changes in patients underwent gynecological laparoscopic surgery and the sedative effect is ob
作者
赵丽娟
Zhao Lijuan(Zhengzhou Maternal and Child Health Care Hospital, Zhenzhou, Henan, China 45000)
出处
《中国药业》
CAS
2017年第22期49-52,共4页
China Pharmaceuticals
关键词
氟比洛芬酯
超前镇痛
综合护理
妇科腹腔镜手术
疗效
flurbiprofen axetil
preemptive analgesia
comprehensive nursing
gynecological laparoscopic surgery
curative effect
