首页|地佐辛联合地塞米松对宫腔镜手术患者术后疼痛的影响

地佐辛联合地塞米松对宫腔镜手术患者术后疼痛的影响

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目的 探讨地佐辛联合地塞米松对宫腔镜手术患者术后疼痛的影响。方法 选取2020年10月-2021年10月本院收治的90例宫腔镜手术患者作为研究对象,按照随机数字表法分为传统组(n=45,静脉全麻药物给予地佐辛)和联合组(n=45,静脉全麻药物给予地佐辛联合地塞米松),比较两组患者麻醉效果、各时段生命体征、疼痛视觉模拟评分表(VAS)及不良反应发生情况。结果 联合组的苏醒时间、定向力恢复时间均明显短于传统组,组间差异有统计学意义(P<0。05)。麻醉前,两组患者平均动脉压(MAP)、心率(HR)对比,差异无统计学意义(P>0。05);麻醉后3min,联合组MAP及HR明显高于传统组,扩宫颈时及停药后10min联合组MAP及HR显著低于传统组,组间差异有统计学意义(P<0。05)。术后,两组患者的VAS评分均下降,联合组低于传统组,组间差异有统计学意义(P<0。05);联合组不良反应发生率低于传统组,组间差异有统计学意义(P<0。05)。结论 宫腔镜手术患者使用地佐辛联合地塞米松效果可靠,患者苏醒迅速、血流动力学稳定,对机体疼痛有较好的抑制作用,不良反应发生较少,值得临床广泛应用。
Effect of Dizocine Combined with Dexamethasone on Postoperative Pains of Patients with Hysteroscopic Surgery
Objective To investigate effect of dizocine combined with dexamethasone on postoperative pains for patients with hysteroscopic surgery.Methods The paper chose 90 patients with hysteroscopic surgery in our hospital from October 2020 to October 2021 as research objects,and divided them into traditional group(n=45,treated with intravenous general anesthesia by dezocine)and combination group(n=45,with intravenous general anesthesia by dezocine combined with dexamethasone)according to random number table method.Anesthesia effect,vital signs,visual analogue scale(VAS)of pains and adverse reactions was compared between two groups.Results Recovery time and orientation recovery time of combination group was significantly shorter than traditional group(P<0.05).There was no significant difference in MAP and HR between two groups before anesthesia,(P>0.05).3 minutes after anesthesia,MAP and HR in combination group was significantly higher than traditional group,and MAP and HR in combination group was significantly lower than traditional group during cervical dilation and 10 minutes after drug withdrawal(P<0.05).After operation,VAS scores between two groups decreased,those in combination group were lower than traditional group(P<0.05).Incidence of adverse reactions in combination group was,which was lower than in traditional group(P<0.05).Conclusion Dizocine combined with dexamethasone can achieve reliable effect,rapid awakening,stable hemodynamics,good inhibition of body pain,and fewer adverse reactions for patients with hysteroscopic surgery.

DizocineDexamethasoneHysteroscopic surgeryPains

曾舒、范志勇、曾亮亮

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东莞市寮步医院麻醉科,广东 东莞 523400

地佐辛 地塞米松 宫腔镜手术 疼痛

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(13)