摘要
目的:探讨不同时间注入酮咯酸氨丁三醇对腹腔镜卵巢囊肿切除患者术后镇痛效果的影响。方法:选择腹腔镜卵巢囊肿切除患者60例,随机分为酮咯酸氨丁三醇超前镇痛组(A组)和酮咯酸氨丁三醇常规镇痛组(B组),每组30例。所有患者均采用全身麻醉气管插管。A组在插管前5 min给予酮咯酸氨丁三醇60 mg静脉注射作为超前镇痛组,B组在拔除气管插管前5 min给予酮咯酸氨丁三醇60 mg作为常规镇痛组。术后行视觉模拟评分(VAS评分)及术后24 h患者自控镇痛泵(PCA泵)对芬太尼的主动追加量的差异。结果:A组患者在术后1、4、8、12、24hVAS评分均低于B组(P<0.05),A组术后48 h芬太尼主动追加量明显低于B组(P<0.05)。结论:酮咯酸氨丁三醇超前镇痛对腹腔镜卵巢囊肿切除术术后可以产生较好的术后镇痛效果。
Objective：To explore the different time into ketorolac tromethamine laparoscopic ovarian cyst excision the postoperative analgesia effect. Methyls：Selection laparoscopic resection patients ovarian cyst with 60 cases were randomly divided into Ketorolae Tromethamine advance analgesic group （group A） and Ketorolae Tromethamine conventional analgesic group （group B）, each group of 30 patients. All of the patients with tra- chea intubation general anesthesia. In group A 5 min before intubation Ketorolac Tromethamine 60 mg intra- venous as advanced analgesic group, pulling in group B endotraeheal intubation before 5 min give kKetorolac Tromethamine 60 mg for routine analgesic group. The line visual simulation score （VAS score） and postopera- tive 24 h patient controlled analgesia pump （PCA pump） to fentanyl initiative of the difference of the amount of additional. Results In patients of group A after 1, 4,8, 12, 24 hour VAS scores are lower than B group（P〈 0.05）, A group of people in 48 h, additional amount at the initiative was significantly lower than the B group（P 〈 0.05）. Conclusion： Ketorolac Tromethamine e ahead of ovarian cyst excision analgesia laparoscopic surgery can be more good postoperative analgesia effect.
出处
《内蒙古医学杂志》
2013年第2期158-160,共3页
Inner Mongolia Medical Journal
