首页|酮咯酸氨丁三醇联合布托啡诺在腹腔镜全子宫切除术超前镇痛中的应用探讨

酮咯酸氨丁三醇联合布托啡诺在腹腔镜全子宫切除术超前镇痛中的应用探讨

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目的 探讨酮咯酸氨丁三醇联合布托啡诺在腹腔镜全子宫切除术中超前镇痛的应用效果.方法 单纯随机选取昌乐齐城中医院于2022年6月—2023年6月行全麻腹腔镜下子宫全切术的130例子宫内膜癌患者为研究对象,使用随机数字表法将其分为对照组(n=65)与研究组(n=65).两组患者均接受常规麻醉诱导及麻醉维持,对照组在此基础上行酒石酸布托啡诺镇痛,研究组行酮咯酸氨丁三醇联合酒石酸布托啡诺镇痛.对比两组患者术后恢复情况及镇痛泵使用情况、血清炎症因子水平及不良反应发生情况.结果 两组术后苏醒时间与呼吸恢复时间对比,差异无统计学意义(P均>0.05).研究组镇痛药物使用量及镇痛泵按压次数少于对照组,差异有统计学意义(P均<0.05).术后1 d,两组血清炎症因子水平较术前显著改善,且研究组均优于对照组,差异有统计学意义(P均<0.05).研究组术后不良反应总发生率为 6.15%,低于对照组的18.46%,差异有统计学意义(χ2=4.561,P<0.05).结论 酮咯酸氨丁三醇联合布托啡诺的镇痛方法对行腹腔镜全子宫切除术的患者镇痛效果良好.
Application of Ketorolac Tromethamine Combined with Butorphanol in Preemptive Analgesia in Laparoscopic Total Hysterectomy
Objective To investigate the effect of ketorolac tromethamine combined with butorphanol on preemptive analgesia in laparoscopic total hysterectomy.Methods A total of 130 patients with endometrial cancer who underwent laparoscopic hysterectomy under general anesthesia in Changle Qicheng Traditional Chinese Medicine Hospital from June 2022 to June 2023 were simple randomly selected as the research objects.They were divided into control group(n=65)and study group(n=65)by random number table method.Both groups received routine anesthesia induction and anesthesia maintenance.The control group received butorphanol tartrate analgesia on this basis,and the study group received ketorolac tromethamine combined with butorphanol tartrate analgesia.The postoperative recovery,anal-gesic pump use,serum inflammatory factor levels and adverse reactions were compared between the two groups.Re-sults There were no statistically significant differences in postoperative recovery time and respiratory recovery time between the two groups(both P>0.05).The use of analgesic drugs and the number of times of pressing analgesic pumps in the study group were less than those in the control group,and the differences were statistically significant(both P<0.05).After operation 1 day,the levels of serum inflammatory factors in the two groups were significantly im-proved compared with those before operation,and those in the study group were better than the control group,the dif-ferences were statistically significant(all P<0.05).The total incidence of postoperative adverse reactions in the study group was 6.15%,which was lower than 18.46%in the control group,and the difference was statistically significant(χ2=4.561,P<0.05).Conclusion The combined analgesic method of ketorolac tromethamine and butorphanol has a good analgesic effect on patients undergoing laparoscopic total hysterectomy.

Intravenous patient-controlled analgesiaAnalgesic effectInflammatory cytokine levelsAdverse reactions

秦翠萍、宋继国

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昌乐齐城中医院麻醉科,山东 潍坊 262400

静脉自控镇痛 镇痛效果 炎症因子水平 不良反应

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(18)