肝胆手术后患者静脉镇痛的临床效果.docVIP

肝胆手术后患者静脉镇痛的临床效果 　　【摘要】目的研究肝胆手术后患者应用静脉镇痛的临床疗效和安全性。方法选择2012年1月~2013年2月肝胆手术患者62例, 将患者随机分为A、B两组, 每组31例。A组患者在手术后静脉注射曲马多100 mg治疗镇痛, B组患者在A组基础上给予地佐辛20 mg+生理盐水至100 ml镇痛泵做静脉镇痛治疗 。观察两组患者肝胆手术后的镇痛效果。结果两组患者术后镇痛治疗均有效果, B组患者的术后镇痛效果优于A组, 两组对比差异有统计学意义(P0.05)。结论肝胆手术后给予患者静脉镇痛治疗能够有效减少患者的疼痛应急反应, 减少术后并发症, 值得在临床上大力推广。 　　【关键词】肝胆手术；地佐辛；曲马多；静脉镇痛；临床疗效 　　 　　Clinical effect of intravenous analgesia in patients with liver and gallbladder surgery HUANG Min. Jiangmen Central Hospital, Jiangmen 529070, China 　　【Abstract】Objective To study clinical efficacy and safety of intravenous analgesia in patients with liver and gallbladder surgery. Methods From January 2012 to February 2013, 62 cases of liver and gallbladder surgery patients were randomly divided into two groups, 31 cases in each group. After surgery, group A treated with 100 mg intravenous tramadol for analgesia, group B treated with symplectic 20 mg + saline intravenous analgesia to 100 ml for analgesia pump treatment based on group A, analgesic effect after liver and gallbladder surgery of two groups was observed. Results Postoperative analgesia effectshowed in two groups postoperative analgesia effect of group B was better than group A, differences between the two groups were statistically significant(P0.05). Conclusion Treatment with an intravenous analgesia in patients with liver and gallbladder surgery can effectively reduce pain in patients with emergency response and the postoperative complications, so it is worthy of clinical promotion. 　　【Key words】Liver and gallbladder surgery; Dezocine; Tramadol; Intravenous analgesia; Clinical curative effect肝胆手术是临床上常见的手术之一, 肝胆手术无论是治疗肿瘤还是普通疾病, 患者都会在麻醉之后出现不同程度的疼痛, 严重者甚至产生全身应激反应。术后疼痛不仅会严重损伤患者的中枢神经系统, 还直接影响到患者的各项生理状态［1］。临床上可以使用地佐辛等镇痛药物, 以缓解患者的疼痛情况。本次研究中选择本院2012年3月~2013年3月肝胆手术全麻患者62例, 研究观察患者术后静脉镇痛的临床疗效, 取得效果较好, 现将结果报告如下。 　　1资料与方法 　　1. 1一般资料本院2012年1月~2013年2月肝胆手术患者62例, ASA1~2级, 术前签署知情同意书, 无心肺肝肾脑等功能明显受损, 无麻醉药物过敏, 无嗜酒史和吸毒史。其中男30例, 女32例, 年龄20~72岁, 平均年龄(41.25±3.54)岁, 体重45~88 kg。手术有胆道探查取石12例,