首页|布托啡诺联合盐酸曲马多治疗妇科腹腔镜术后患者寒战的效果与护理观察

布托啡诺联合盐酸曲马多治疗妇科腹腔镜术后患者寒战的效果与护理观察

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目的 探究布托啡诺联合盐酸曲马多治疗妇科腹腔镜术后寒战的效果与护理观察.方法 回顾性分析2015年1月~2017年1月在嘉兴市第二医院接受治疗的60例妇科腹腔镜手术后寒战患者临床资料,并给予随机分组,对照组30例,给予盐酸曲马多治疗;观察组30例,给予布托啡诺治疗,2组患者均给予临床护理,对2组患者用药后5 min、10 min、30 min寒战分级情况、Prince-Henry评分、Ramsay镇静评分以及不良反应发生情况进行综合评价.结果 观察组患者用药后不同时段寒战分级情况与对照组差异无统计学意义;观察组患者用药后4 h、8 h、12 h Ramsay镇静评分均显著高于对照组,存在统计学意义(P<0.05);且观察组用药后有3例患者出现不良反应,占10.0%,显著低于对照组的36.7%,2组差异较大,差异具有统计学意义(P<0.05).结论 布托啡诺对妇科腹腔镜术后寒战有着显著的疗效,镇静作用优于盐酸曲马多,且不良反应少.
Effects observation on the treatment and nursing of chills after gynecological laparoscopic surgery with Butorphano and Tramadol Hydrochloride
Objective To explore the effect of treatment and nursing of Butorphanol and Tramadol Hydrochloride on chills after gynecological laparoscopic surgery. Methods Retrospective analysis of 60 chills patients after gynecological laparoscopic surgery treated the Second Hospital of Jiaxing City from January 2015 to January 2017 were taken, 60 patients were randomly divided into the control groups and the observation group, 30 cases in the control group were given Tramadol Hydrochloride; 30 patients in the observation group were given Butorphanol, the two groups of patients were given clinical nursing, patients chills grading after 5 min, 10 min, 30 min, Prince-Henry score, Ramsay sedation score and adverse reactions of two groups were comprehensively evaluated. Results There was no significant difference in the chills grading between the control group and the control group. Ramsay sedation score in the observation group significantly higher than the control group at 4 h, 8 h and 12 h after treatment with statistical significance (P<0.05) , in the observation group, there were 3 cases of adverse reactions occurred, accounting for 10.0%, which was significantly lower than that (36.7%) of the control group with statistical significance (P<0.05). Conclusion Butorphanol has a significant effect on chills after gynecological laparoscopic surgery, sedative effect of which is better than Tramadol Hydrochloride, with less adverse reactions.

ButorphanolTramadol Hydrochloridegynecological laparoscopy surgerychillsnursing

夏凤英

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嘉兴市第二医院 护理部,浙江 嘉兴 314000

布托啡诺 盐酸曲马多 妇科腹腔镜术 寒战 护理

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(10)
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