子宫切口妊娠介入治疗术后静脉注射帕瑞昔布钠镇痛30例被引量：4

Thirty cases of pain nursing by intravenous anesthesia with of parecoxib sodium after interventional treatment of uterine arterial embolization

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摘要目的观察帕瑞昔布钠在剖宫产后子宫切口妊娠(CSP)行动脉介入栓塞治疗后疼痛护理的效果。方法选取2014年6月至2016年1月首都医科大学附属北京妇产医院CSP病人61例,采用便利抽样法分为观察组30例和对照组31例。两组均行双侧子宫动脉栓塞联合化疗药灌注术,术后观察组静脉注射帕瑞昔布钠40 mg镇痛,对照组应用静脉注射氟比洛芬酯50mg镇痛。两组均连续使用3 d,比较两组疼痛程度、舒适程度、疼痛信念及病人对疼痛控制的满意度。结果观察组6 h、12h、24 h的数字疼痛分级法(NRS)评分均低于对照组,舒适评分(BCS)量表评分均高于对照组(P<0.05)。观察组疼痛信念与感知量表(PBPI)中感觉疼痛很神秘、认为疼痛不可解除及自责感评分均低于对照组(P<0.05)。观察组对疼痛治疗结果的满意度[(4.42±0.53)分比(3.61±0.10)分]、对护士处理方法的满意度[(4.56±0.67)分比(3.90±0.55)分]及对医生处理方法的满意度[(4.72±0.55)分比(4.00±0.50)分]均高于对照组(P<0.05或P<0.01)。结论 CSP动脉介入栓塞治疗后给予帕瑞昔布钠进行术后镇痛,可降低病人的疼痛程度,提高舒适度,并增加病人对抗疼痛的信念和对疼痛控制的满意度,改善疼痛护理质量。 Objective To observe the analgesic effect of pain nursing with parecoxib in treatment of cesarean scar pregnancy(CSP) by uterine arterial embolization.Methods Sixty-one patients with CSP in Beijing Obstetrics and Gynecology Hospital,Capital Medical University from June 2014 to January 2016 were assigned into observation group(n=30) and control group(n=31) using the convenience sampling method.The uterine arterial embolization combine with chemotherapeutic agents were performed in both groups,and after operation,the observation group was received parecoxib 40 mg and the control group was received Flurbiprofen axetil.The two groups were used continuously for 3 days,the degree of pain(NRS scale) and comfort(BCS scale),pain beliefs and satisfaction of pain management were compared.Results The NRS scores of observation group at 6 h,12 h,24 h were lower than those in the control group,the BCS scores were higher than those in the control group(P<0.05).The indicators of Pain Belief and Perception Scale(PBPI) including pain very mysterious,pain would not contact and guilt scores in observe group were lower than those in control group(P<0.05).The satisfaction of pain nursing effect [(4.42±0.53) vs.(3.61±0.10)],the satisfaction of nurse treatment method [(4.56±0.67) vs.(3.90±0.55)] and the satisfaction of doctor treatment method [(4.72±0.55) vs.(4.00±0.50)] in observation group were higher than those in control group(P<0.05 or P<0.01).Conclusion Pain nursing with parecoxib in treatment of cesarean scar pregnancy by uterine arterial embolization can reduce pain degree,improve comfort degree,increase patient belief against pain and satisfaction for pain control,and change pain nursing quality.

作者邓瑶 DENG Yao(Author Affiliation:Department of Family Planning,Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing 100006,China)

机构地区首都医科大学附属北京妇产医院计划生育科

出处《安徽医药》 CAS 2019年第8期1685-1688,共4页 Anhui Medical and Pharmaceutical Journal

关键词妊娠异位镇痛产科剖宫产术/副作用化学栓塞治疗性输注静脉内氟比洛芬帕瑞昔布钠 Pregnancy,ectopic Analgesia,obstetrical Cesarean section/adverse effects Chemoembolization,therapeutic Infusions,intravenous Flurbiprofen Parecoxib

分类号 R614 [医药卫生—麻醉学]