鼻内镜术后患者进行静脉自控镇痛的效果观察.docVIP

精品论文 参考文献 鼻内镜术后患者进行静脉自控镇痛的效果观察 李燕 　　（ 成都大学附属医院 四川成都 610081） 　　【摘要】目的 观察鼻内镜术后患者进行静脉自控镇痛的效果，总结相关的护理经验。方法 收集我科从2012年6月～2013年6月共200例鼻内镜手术的患者进行术后镇痛的护理资料，将其随机分为对照组和治疗组，每组各100例患者。为对照组患者在术后采用传统的镇痛方法（即肌肉注射盐酸哌替啶50mg）进行镇痛；为治疗组患者在术后使用自制静脉镇痛泵进行镇痛。对两组患者的疼痛效果、术后24小时夜间睡眠时间进行比较观察。结果 治疗组的患者的疼痛效果明显优于对照组患者，睡眠时间质量也好于对照组，差异显著，plt;0.05有统计学意义。结论 鼻内镜术后患者使用自控静脉镇痛泵可取得明显的镇痛效果，并可显著改善身体的舒适度和睡眠质量。 　　【关键词】 鼻内镜术后 静脉自控镇痛 效果观察 　　【中图分类号】R614 【文献标识码】A 【文章编号】2095-1752（2014）01-0156-02、 　　The effect observation of patient-controlled intravenous analgesia in patients after endoscopic sinus surgery 　　Li yan 　　Affiliated Hospital of Chengdu University, Chengdu Sichuan 610081 　　【Abstract】Objective: To observe the effect of patient-controlled intravenous analgesia in patients after endoscopic sinus surgery(ESS), and summarize relevant nursing experience. Methods: Nursing data of a total of 200 cases of ESS for postoperative analgesia was collected in our department from June 2012 to June 2013; patients were randomly divided into control group and treatment group,100 patients in each group.For the control group of patients,traditional method (intramuscular pethidine hydrochloride 50mg) was used for pain in the postoperative analgesia; for the treatment group of patients, patient-controlled intravenous analgesia was used.Analgesic effect and postoperative 24 hours nightly sleep duration on the two groups of patients were observed and analyzed.Results: Analgesic effect of the treatment group was significantly better than the control group of patients,so was the sleep quality. There is significant difference between two groups (Plt;0.05).Conclusions: Patient-controlled intravenous analgesia in patients after ESS can achieve significant analgesic effect, and significantly improve physical comfort and sleep quality of patients. 　　【Key words】after endoscopic sinus surgery patient-controlled intravenous analgesia effect observation 　　鼻内镜下鼻部手术后，由于创伤较小且创面