麻醉镇痛泵应用于妇产科术后的效果分析

发布时间：2018-03-04 07:06

本文选题：麻醉镇痛泵　切入点：妇产科　出处：《中外医疗》2016年20期 　论文类型：期刊论文

【摘要】：目的探讨麻醉镇痛泵应用于妇产科术后的临床效果,为临床应用提供参考意见。方法整群选取该院2014年1月—2016年1月所收治136例妇产科手术患者,随机分为研究组和对照组。研究组68例,术后采用麻醉镇痛泵进行镇痛处理;对照组68例,术后通过采用镇痛药物进行镇痛处理。比较两组患者临床情况及镇痛效果,并记录两组患者不良反应发生情况。结果研究组临床表现显著优于对照组,差异具有统计学意义(P0.01);研究组术后VAS评分为(2.5±1.1)分,显著低于对照组的(4.1±1.3)分,差异具有统计学意义(P0.01)。研究组68例患者中,发生4例恶心、呕吐,未发现皮肤瘙痒,不良反应发生率为5.88%;对照组68例患者中,11例发生恶心、呕吐,5例发生皮肤瘙痒,发生率为23.53%;差异具有统计学意义(χ2=7.945,P0.01)。结论麻醉镇痛泵应用于妇产科术后镇痛中,可有效减轻患者疼痛程度,提高生理稳定性和预后质量,值得临床推广应用。
[Abstract]:Objective to investigate the clinical effect of anaesthesia analgesia pump in gynecology and obstetrics operation, and to provide reference for clinical application. Methods A cluster of 136 patients with gynecology and obstetrics surgery were selected from January 2014 to January 2016 in our hospital. They were randomly divided into two groups: the study group (n = 68) and the control group (n = 68). The patients in the study group were treated with anaesthesia pump after operation, and the patients in the control group were treated with analgesic drugs after operation. The clinical situation and analgesic effect of the two groups were compared. Results the clinical manifestation of the study group was significantly better than that of the control group, the difference was statistically significant (P 0.01), the VAS score of the study group was 2.5 卤1.1), which was significantly lower than that of the control group (4.1 卤1.3). The difference was statistically significant (P 0.01). In the study group, there were 4 cases of nausea, vomiting, no skin itching, and the incidence of adverse reactions was 5.88, while in the control group, there were 11 cases of nausea, 5 cases of vomiting and 5 cases of skin pruritus. The incidence rate was 23.53, and the difference was statistically significant (蠂 ~ 2 / 7.945) P 0.01.Conclusion the application of anesthesia analgesia pump in postoperative analgesia of gynecology and obstetrics can effectively reduce the pain degree, improve the physiological stability and the quality of prognosis, and is worth popularizing in clinic.
【作者单位】：四川省眉山市洪雅县中医医院麻醉科;
【分类号】：R614

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