摘要
目的:探讨帕瑞昔布钠超前镇痛对于乳腺微创旋切术患者的镇痛疗效方法:将我科室2015年5月至2016年5月80例局麻下行乳腺微创旋切术的患者随机分为实验组和对照组各40例,实验组送手术前30min给予帕瑞昔布钠40mg+生理盐水20mL静脉注射后送手术室,对照组送手术前30min给予同量生理盐水静脉注射后送手术室,比较两组患者术后不同时间的疼痛数字等级评定量表(numerical rating scale NRS)的评分,镇痛药使用情况及患者满意度。结果:实验组患者术后2h,6h,12h,24h的NRS评分的疼痛评分均低于对照组,差别均有统计学意义(P<0.01),实验组患者镇痛效果满意度及护理工作满意度高于对照组,差别有统计学意义(P<0.05)实验组术后24h镇痛药使用例数低于对照组,差别有统计学意义(P<0.05)。结论:帕瑞昔布钠超前镇痛对乳腺微创旋切术患者的术后镇痛效果明显,可提高患者对护理工作的满意度。
Objectives：The study was conducted to probe into the analgesia effect of applying parecoxib sodium as preemptive analgesia to minimally invasive mammotome biopsy.Methods：The 80 patients,who received local-anesthesia-based minimally invasive mammotome biopsy between May 2015 and May 2016 in our department,were randomly divided into Experimental Group and Control Group,40 patients in each group.For the Experimental Group,they were intravenously administered parecoxib sodium 40mg＋normal saline 20 ml 30minutes prior to the operation and then sent to the operation room.For the Control Group,they were intravenously administered normal saline20 ml 30minutes prior to the operation and then sent to the operation room.Comparison was made,between the two groups of patients,of the pain numerical rating scale（NRS）,the use of analgesic and the level of patient satisfaction in different time periods after the operation.Results：Compared with the Control Group,the Experimental Group experienced averagely lower scores in pain NRS at 2hours,6hours,12 hours and 24 hours after the operation.There was statistically significant difference（P〈0.01）.Besides,the Experimental Group showed higher satisfaction with the analgesia effect and nursing than the Control Group,with statistically significant difference（P〈0.05）.At 24 hours after the operation,fewer patients from the Experimental Group were administered analgesic than those from theControl Group.There was statistically significant difference（P〈0.05）.Conclusions：The application of parecoxib sodium as preemptive analgesia to minimally invasive mammotome biopsy works significantly in postoperative patient analgesia and improving patient satisfaction with nursing.
出处
《中外女性健康研究》
2016年第17期6-7,20,共3页
Women＇s Health Research
关键词
帕瑞昔布钠
超前镇痛
乳腺微创旋切术
Parecoxib
Preemptive analgesi
minimally invasive mammotome biopsy
