發(fā)布時間：2018-05-13 05:35

  本文選題：腹腔鏡膽囊切除術(shù) + 帕瑞昔布　； 參考：《重慶醫(yī)科大學》2017年碩士論文

【摘要】：目的:探索帕瑞昔布用于腹腔鏡膽囊切除術(shù)后的疼痛療效評價。方法:選取擇期行腹腔鏡膽囊切除術(shù)的患者120例,隨機分為A組實驗組(n=60)術(shù)后應(yīng)用鎮(zhèn)痛泵的同時,并在手術(shù)結(jié)束后2、6、12、24h靜注帕瑞昔布40毫克;B組對照組(n=60)術(shù)后使用鎮(zhèn)痛泵的同時,并在手術(shù)結(jié)束后2、6、12、24h給予10毫升生理鹽水靜注。A組和B組均用視覺模擬評分法對兩組手術(shù)后當天、手術(shù)后第1天、手術(shù)后第2天進行疼痛評分,并記錄術(shù)后住院天數(shù)、肛門排氣時間、開始下床活動時間、夜間睡眠時間、不良反應(yīng)等。結(jié)果:A組手術(shù)后當天、手術(shù)后第1天、手術(shù)后第2天疼痛評分均低于B組(P0.05)。兩組術(shù)后住院天數(shù)比較,無顯著性差異(P=0.529)。A組肛門排氣時間、開始下床活動時間均低于B組(P0.05)。A組手術(shù)后當天、手術(shù)后第1天夜間睡眠時間高于B組(P0.05)。A組惡心、嘔吐的發(fā)生率低于B組(P0.05)。結(jié)論:腹腔鏡膽囊切除術(shù)后使用帕瑞昔布能明顯減少患者的術(shù)后疼痛,提高術(shù)后睡眠時間,促進患者的功能恢復(fù),有效減少不良反應(yīng)的發(fā)生。
[Abstract]:Objective: to evaluate the effect of paroxib on pain after laparoscopic cholecystectomy. Methods: one hundred and twenty patients undergoing laparoscopic cholecystectomy were randomly divided into two groups: group A (group A) were treated with analgesic pump at the same time as the experimental group (n = 60), and the control group (n = 60) received intravenous injection of paroxib 40 mg / L for 24 h after operation. The patients in group A and group B were given 10 ml saline intravenously for 24 hours after operation. The pain scores were evaluated by visual analogue scoring method on the day of operation, the first day after operation, and the second day after operation, and the days of postoperative hospitalization were recorded. Anal exhaust time, time to get out of bed, night sleep time, adverse reactions, etc. Results the scores of pain in group A were lower than those in group B on the day of operation, the first day after operation and the second day after operation. There was no significant difference in postoperative hospitalization days between the two groups. There was no significant difference between group A and group A in anal exhaust time, and the time of getting out of bed was lower than that of group B (P 0.05). The first day after operation, the sleep time of group A was higher than that of group B (P 0.05), and that of group A was higher than that of group A (P 0.05), and that of group A was lower than that of group A (P 0.05). The incidence of vomiting was lower than that of group B (P 0.05). Conclusion: the use of paroxib after laparoscopic cholecystectomy can significantly reduce postoperative pain, improve postoperative sleep time, promote the functional recovery of patients, and effectively reduce the occurrence of adverse reactions.
【學位授予單位】：重慶醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R614

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本文編號：1881898