氟比洛芬酯超前镇痛在直接喉镜下声带息肉摘除术的临床应用.docVIP

精品论文 参考文献 氟比洛芬酯超前镇痛在直接喉镜下声带息肉摘除术的临床应用 李晖 李华(通讯作者) 张媛园 　　(上海徐汇区大华医院麻醉科 上海 200037) 　　【摘要】目的 探讨氟比洛芬酯超前镇痛在直接喉镜下声带息肉摘除术的应用。方法 择期行直接喉镜下声带息肉摘除术患者60例，ASAI-II级，随机分为两组，每组30例．Ⅰ组(观察组)患者全身麻醉诱导后静脉缓慢注射氟比洛芬酯注射液l00mg；Ⅱ组(对照组)不注射氟此洛芬酯注射液。分别记录两组患者术后2、4、8、16、24h的疼痛视觉模拟评分(VAS)；以及与麻醉镇痛相关的不良反应。结果 观察组术后2、4、8、16、24h VAS明显低于对照组(P＜0.05)，两组与麻醉镇痛有关的不良反应之间比较无明显差异(P＞0.05)。结论 氟比洛芬酯超前镇痛应用于直接喉镜下声带息肉摘除术，能有效缓解患者术后早期疼痛，减轻炎症反应，不良反应的发生率低。 　　【关键词】氟此洛芬酯 超前镇痛 声带息肉摘除术 　　【中图分类号】R614 【文献标识码】A 【文章编号】2095-1752（2014）15-0101-02 　　preemptive analgesia effect of Flurbiprofen Axetil in patient before divesting their Vocal cord polypus under direct laryngoscope 　　Li Hui, Li Hua, Zhang yuan yuan, et al. Department of anesthesiology, Dahua Hospital, Shanghai Xuhui District 200237,China 　　【Abstract】 Objective TO investigate the preemptive analgesia effect of Flurbiprofen Axetil in patient before divesting their Vocal cord polypus under direct laryngoscope. Method sixty patients ,ASAI-II grade,were randomly diverded into two group (n=30 each),group I (observation group) TO inject slowly Flurbiprofen Axetil l00mg to patient after induction of general anaesthesia ; group II(control group)not giving Flurbiprofen Axetil Injection.Analgesia score and the incidence of adverse reactions were measured by the method of visual analogue scale (VAS)at 2,4,8,16,and 24 hrs after operation. Result the VAS at 2,4,8,16,and 24 hrs of observation group were lower than control group (P＜0.05),threr was on obvious difference between two group about the adverse reactions of analgesia (P＞0.05)Conclusion preemptive analgesia used for divesting their glottic polypus under direct laryngoscope was effectiveness to relieve prophase pain after operation , to ease Inflammatory reaction,to decrease incidence rate of adverse reaction. 　　【Key words】 Flurbiprofen preemptive analgesia Vocal cord polypu extirpation 　　耳鼻咽喉科咽喉部手术如：显微镜直接喉镜下声带息肉摘除术所致疼痛，使手术患者术后吞咽时疼痛明显且严重影响其情绪和饮食；患者术后的镇痛处理对呼吸