本文選題：局部麻醉鎮(zhèn)痛　切入點(diǎn)：靜脈自控鎮(zhèn)痛　出處：《海軍醫(yī)學(xué)雜志》2016年02期 　論文類型：期刊論文

【摘要】：目的研究一次性術(shù)后局部麻醉鎮(zhèn)痛系統(tǒng)與靜脈自控鎮(zhèn)痛泵對(duì)常規(guī)開(kāi)胸術(shù)后鎮(zhèn)痛效果和安全性。方法將2013年6月至2014年6月在解放軍第二炮兵總醫(yī)院胸外科行常規(guī)開(kāi)胸手術(shù)的80例患者納入研究,經(jīng)患者知情同意,簽署知情同意書(shū)后運(yùn)用隨機(jī)數(shù)字表法分為局部麻醉鎮(zhèn)痛系統(tǒng)組(試驗(yàn)組)與靜脈自控鎮(zhèn)痛泵組(對(duì)照組),每組40例。比較2組患者術(shù)后鎮(zhèn)痛效果(疼痛視覺(jué)模擬(VAS)評(píng)分及Prince-Henry評(píng)分]、哌替啶累積用量、不良反應(yīng)發(fā)生率。研究方案經(jīng)醫(yī)院倫理委員會(huì)討論并通過(guò)。結(jié)果 (1)疼痛程度:術(shù)后12、24、48 h時(shí),試驗(yàn)組患者的VAS評(píng)分(3.82±0.64,2.66±0.45,1.89±0.24)與對(duì)照組(3.71±0.77,2.74±0.55,1.94±0.51)差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);Prince-Henry評(píng)分(2.39±0.34,1.48±0.18,0.92±0.11)低于對(duì)照組(3.14±0.42,2.74±0.33,1.58±0.21),差異有統(tǒng)計(jì)學(xué)意義(P0.05);(2)哌替啶累積使用劑量:試驗(yàn)組的哌替啶累積使用劑量少于對(duì)照組;(3)試驗(yàn)組患者術(shù)后肺不張、呼吸衰竭、惡心、嘔吐、眩暈、嗜睡的發(fā)生率低于對(duì)照組患者。結(jié)論相比靜脈自控鎮(zhèn)痛泵,一次性術(shù)后局部麻醉鎮(zhèn)痛系統(tǒng)能夠取得更為理想的動(dòng)態(tài)鎮(zhèn)痛效果,減少阿片類藥物的使用劑量以及不良反應(yīng)的發(fā)生率,是更為安全有效的鎮(zhèn)痛方法。
[Abstract]:Objective to study the analgesic effect and safety of local anaesthetic analgesia system and intravenous analgesia pump after conventional thoracotomy. Methods from June 2013 to June 2014, routine analgesia was performed in chest surgery of the second Artillery General Hospital of the people's Liberation Army. Eighty patients undergoing thoracotomy were included in the study. With the informed consent of the patient, After signing the informed consent, the patients were randomly divided into two groups: the experimental group (experimental group) and the patient controlled intravenous analgesia pump group (40 cases in each group). The postoperative analgesic effect (visual simulation of pain) was compared between the two groups. Vas score and Prince-Henry score], pethidine cumulative dosage, Incidence of adverse reactions. The study was discussed and approved by the Hospital Ethics Committee. Results 1) pain level: 124h after operation, The VAS score of the patients in the trial group was 3.82 鹵0.64V 2.66 鹵0.45U 1.89 鹵0.24) and that in the control group was 3.71 鹵0.77U 2.74 鹵0.55n 1.94 鹵0.51). There was no significant difference in the VAS score between the trial group and the control group. The cumulative dose of pethidine in the trial group was lower than that in the control group (2.39 鹵0.34 鹵1.48 鹵0.180.92 鹵0.11), which was significantly lower than that in the control group (3.14 鹵0.42 鹵2.74 鹵0.33 鹵1.58 鹵0.21). The cumulative dose of pethidine used in the trial group was lower than that in the control group. The cumulative dose of pethidine in the trial group was lower than that in the control group. The patients in the trial group had postoperative atelectasis, The incidence of respiratory failure, nausea, vomiting, vertigo and lethargy was lower than that in the control group. Reducing the dosage of opioid and the incidence of adverse reactions is a more safe and effective analgesic method.
【作者單位】： 解放軍第二炮兵總醫(yī)院胸外科;
【分類號(hào)】：R614

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 王彤;;術(shù)后應(yīng)用靜脈自控鎮(zhèn)痛泵的護(hù)理體會(huì)[J];中國(guó)醫(yī)藥導(dǎo)報(bào);2011年11期

2 宋繼東;王新麗;王秀華;;食管癌患者術(shù)后使用靜脈自控鎮(zhèn)痛泵的護(hù)理[J];中國(guó)誤診學(xué)雜志;2008年08期

3 王玲;;靜脈自控鎮(zhèn)痛泵在剖宮產(chǎn)術(shù)后的應(yīng)用及護(hù)理[J];家庭護(hù)士;2008年14期

4 呂小梅;劉小萍;;靜脈自控鎮(zhèn)痛泵在骨科術(shù)后的運(yùn)用及護(hù)理體會(huì)[J];井岡山醫(yī)專學(xué)報(bào);2009年01期

5 余幼芬;陳軍;顧燕兒;;靜脈自控鎮(zhèn)痛泵持續(xù)給化療藥在消化道腫瘤患者中的應(yīng)用[J];護(hù)理學(xué)報(bào);2009年20期

6 劉軼鴻;;120例靜脈自控鎮(zhèn)痛泵剖宮產(chǎn)術(shù)后應(yīng)用及護(hù)理[J];中國(guó)民康醫(yī)學(xué);2012年01期

7 何嬌;;普外術(shù)后患者應(yīng)用靜脈自控鎮(zhèn)痛泵的療效觀察與護(hù)理體會(huì)[J];中國(guó)初級(jí)衛(wèi)生保健;2013年02期

8 王地萍;;靜脈自控鎮(zhèn)痛泵用于術(shù)后鎮(zhèn)痛200例[J];中國(guó)藥業(yè);2013年09期

9 鳳旭東,景衛(wèi)山,俎志勇,鮑樂(lè)樂(lè),李紅軍;靜脈自控鎮(zhèn)痛泵在高齡患者術(shù)后的應(yīng)用[J];實(shí)用醫(yī)藥雜志;2004年02期

10 周本華;魯開(kāi)紅;符彩霞;李干紅;;髖關(guān)節(jié)術(shù)后應(yīng)用靜脈自控鎮(zhèn)痛泵的觀察及護(hù)理[J];臨床和實(shí)驗(yàn)醫(yī)學(xué)雜志;2008年10期

相關(guān)會(huì)議論文 前2條

1 鄭文美;朱完平;陳肖敏;;硬膜外和靜脈自控鎮(zhèn)痛泵術(shù)后鎮(zhèn)痛效果的探討[A];全國(guó)第十一屆手術(shù)室護(hù)理學(xué)術(shù)交流暨專題講座會(huì)議論文匯編（下）[C];2007年

2 宋曉征;李海婷;韋小玲;趙會(huì)霞;李輝輝;;按壓內(nèi)關(guān)穴緩解鎮(zhèn)痛泵引起惡心嘔吐的臨床觀察[A];2013年河南省骨傷護(hù)理學(xué)術(shù)交流會(huì)論文集[C];2013年

，

本文編號(hào)：1589442