阶梯性镇痛在妇科腹腔镜术患者中的应用效果
Application Effect of Step Analgesia in Patients Undergoing Gynecological Laparoscopic Surgery
苗杨 1雷伟 2张金良 3宫宏宇4
作者信息
- 1. 郑州市妇幼保健院麻醉科,河南郑州 450000
- 2. 郑州市妇幼保健院药学部,河南郑州 450000
- 3. 郑州市第一人民医院麻醉科,河南郑州 450000
- 4. 郑州市妇幼保健院妇产科,河南郑州 450000
- 折叠
摘要
目的 探讨阶梯性镇痛方案及加速康复外科理念对妇科腹腔镜术患者疼痛、应激反应及胃肠道反应的影响.方法 选取2021年9月至2023年5月在郑州市妇幼保健院行妇科腹腔镜术的280例患者作为研究对象,依据镇痛护理方案分为研究组(阶梯性镇痛方案和加速康复外科理念,120例)和对照组(传统术后镇痛方案和加速康复外科理念,160例).比较两组术后12～48 h的疼痛数字评分(NRS)、5点口头评分法(VRS-5)、Ramasay镇静评分,以及胃肠道反应.结果 NRS、VRS-5评分的时间因素、组间因素、时间因素与组间因素交互作用均有统计学意义(P＜0.05);术后12～48 h研究组的NRS、VRS-5评分低于对照组(P＜0.05).Ramasay镇静评分的时间因素、组间因素、时间因素与组间因素交互作用均有统计学意义(P＜0.05);术后12～48 h研究组的Ramasay镇静评分低于对照组(P＜0.05).研究组恶心、呕吐、瘙痒评分低于对照组(P＜0.05).结论 阶梯性镇痛方案及加速康复外科理念应用于妇科腹腔镜术患者,可有效减轻术后疼痛、应激反应以及胃肠道反应.
Abstract
Objective To explore the effects of stepwise analgesia and the concept of accelerated rehabilitation surgery on pain,stress response and gastrointestinal response in patients undergoing gynecological laparoscopic surgery.Methods A total of 280 patients who underwent gynecological laparoscopy in Zhengzhou Maternal and Child Health Hospital from September 2021 to May 2023 were selected as the research object.They were divided into a study group(120 cases with a stepwise analgesic plan and an accelerated rehabilitation surgical concept)and a control group(160 cases with a traditional postoperative analgesia program and accelerated rehabilitation surgery concept)based on different analgesic nursing plans.The pain numerical score(NRS),the 5-point verbal rating scale(VRS-5),Ramasay sedation score and gastrointestinal reactions between the two groups at 12-48 hours after surgery were compared.Results The comparison of time factors,inter group factors,time factors and inter group factor interactions in NRS and VRS-5 scores showed statistical significance(P＜0.05).The scores of NRS and VRS-5 in the study group were lower than those in the control group from 12-48 hours after surgery(P＜0.05).The comparison of time factors,inter group factors,time factors and inter group factor interactions in Ramasay sedation score showed statistical significance(P＜0.05).The Ramasay sedation score in the study group was lower than that in the control group at 12-48 hours after surgery(P＜0.05).The scores of nausea,vomiting and itching in the study group were lower than those in the control group(P＜0.05).Conclusion The application of a ladder based analgesic plan and the concept of accelerated rehabilitation surgery in patients undergoing gynecological laparoscopic surgery can effectively alleviate postoperative pain,stress reactions,and gastrointestinal reactions.
关键词
阶梯性镇痛/加速康复外科理念/妇科腹腔镜术/疼痛/应激反应/胃肠道反应Key words
stepwise analgesia/the concept of accelerated rehabilitation surgery/gynecological laparoscopic surgery/pain/stress response/gastrointestinal reactions引用本文复制引用
基金项目
河南省医学科技攻关计划联合共建项目(LHGJ20220887)
河南省医学科技攻关计划联合共建项目(LHGJ20200741)
出版年
2024
NETL
NSTL
万方数据