行腹腔镜手术患者术后不同时点撤销 静脉镇痛泵的效果分析
CSTR:
作者:
作者单位:

作者简介:

张伟周,男,主治医师,主要从事临床麻醉的工作。

通讯作者:

中图分类号:

R 614

基金项目:

河源市社会发展科技计划项目(210816161600833)


Analysis of the Effects of Discontinuing Intravenous Analgesic Pump at Different Time Points after Laparoscopic Surgery in Patients
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    摘 要目的:评估行腹腔镜手术患者术后不同时点撤销静脉镇痛泵的效果分析。 方法:选取东源县人民医院 2022 年 5 月至 7 月收治的 60 例行腹腔镜手术患者,随机分为 4 组,分别为未使用镇痛泵组(A 组)、术后 24 h 停用镇痛泵组 (B 组)、术后 48 h 停用镇痛泵组(C 组)和术后 72 h 停用镇痛泵组(D 组)。比较各组患者视觉模拟评分法(VAS) 评分、术后追加静脉注射镇痛药患者例数、住院时间、停止吸氧时间、肠鸣音和肛门排气恢复时间、不良反应发生情况。 结果:A 组 VAS 评分高于其他三组,C 组 VAS 评分低于其他三组,差异具有统计学意义(P < 0.05)。A 组住院时间长于 其他三组,C 组住院时间短于其他三组,差异具有统计学意义(P < 0.05)。A 组术后追加静脉注射镇痛药患者占比高于其 他三组,差异具有统计学意义(P < 0.05),B 组、C 组、D 组三组组间比较,差异无统计学意义(P > 0.05)。四组患者 不良反应发生率比较,差异无统计学意义(P > 0.05)。 结论:术后 48 h 撤销静脉镇痛泵对患者疼痛情况改善良好,可缩 短患者住院时间,而延长镇痛泵使用时间无法带来显著的益处。

    Abstract:

    AbstractObjective To evaluate the effect analysis of discontinuing intravenous analgesic pump at different time points after laparoscopic surgery in patients. Methods Sixty patients who underwent laparoscopic surgery at Dongyuan County People's Hospital from May to July 2022 were randomly divided into four groups: the non-use of analgesic pump group (Group A), the discontinuation of analgesic pump 24 hours after surgery group (Group B), the discontinuation of analgesic pump 48 hours after surgery group (Group C), and the discontinuation of analgesic pump 72 hours after surgery group (Group D). Visual analogue scales (VAS) scores, additional intravenous analgesic injections after surgery, hospital stay, cessation of oxygen therapy, bowel sounds and anal exhaust recovery time, and occurrence of adverse reactions were compared among the groups. Results The VAS scores of Group A were higher than the other three groups, while the VAS scores of Group C were lower than the other three groups, with statistical significance (P < 0.05). The hospital stay of Group A was longer than the other three groups, while the hospital stay of Group C was shorter than the other three groups, with statistical significance (P < 0.05). The proportion of patients requiring additional intravenous analgesic injections after surgery in Group A was higher than the other three groups, with statistical significance (P < 0.05), while there was no significant difference among Groups B, C, and D (P > 0.05). There was no significant difference in the occurrence of adverse reactions among the four groups (P > 0.05). Conclusion Discontinuing the intravenous analgesic pump 48 hours after surgery has a good effect on improving pain in patients, reducing hospital stay, while prolonging the use of the analgesic pump does not bring significant benefits.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2023-12-11
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2024-07-12
  • 出版日期:
文章二维码
特别声明

近期有不法分子冒充我刊名义给作者打电话或发邮件,编造各种理由要求添加微信或QQ、伪造复制我刊编辑部公章发放假冒录用通知书等等各种方式试图骗取作者钱财。为强化编辑部工作规范,加强单位公章管理,维护作者的正当权益和财产利益, 我刊在此郑重声明:(1)编辑部与作者沟通方式为电话和邮件,在本刊唯一官方网站(http:/szzxyjhzz.szrch.com)“联系我们”下拉菜单,或者网站最下端信息栏可以查询),绝对不会要求作者添加微信或QQ。 (2)自2025年2月1日起,注销废除“深圳中西医结合杂志编辑部”电子公章;我刊稿件录用通知调整为加盖编辑部实体公章的纸质文件或其扫描件,录用稿件仅收取合理版面制作费和审稿费,收款单位为“深圳市第二人民医院”对公账户,其他加盖电子公章或涉及私人账户者均为伪造假冒。望广大作者提高警惕,谨防上当受骗。 《深圳中西医结合杂志》编辑部

关闭