腹腔镜胆囊切除术采用地佐辛对超前镇痛的临床分析
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摘要
目的探析腹腔镜胆囊切除术采用地佐辛对超前镇痛的临床应用效果。方法搜集2016年1月—2017年12月期间在该院接受腹腔镜胆囊切除术患者78例作为该次重点对象,根据该次实验麻醉给药方案划分为参照组(常规治疗)及实验组(地佐辛治疗),且每组39例,对所有患者术后各个时间段的镇痛及镇静等相关指标评分及不良反应情况进行观察与评价,并予以总结。结果实验组患者术后呼吸恢复时间(7.8±1.4)min、苏醒时间(9.1±2.0)min、拔管时间(14.6±3.5)min,均显著优于参照组,(t=0.682,0.984,0.791,P>0.05);实验组患术后镇痛4 h(2.02±1.11)分、8 h(4.08±1.68)分、16 h(2.08±1.14)分、24 h(0.53±0.55)分、镇静4 h(2.57±0.44)分、8 h(1.72±0.46)分、16 h(1.14±0.36)分、24 h(0.88±0.51)分评分优于参照组(t=4.523,4.532,4.623,4.953,P<0.05);实验组患者术后出现不良反应总发生率为5.13%,显著低于参照组(χ2=9.361,P<0.05)。结论腹腔镜胆囊切除术采用哪个地佐辛对超前镇痛的临床效果确切,可作为首选用药。
Objective To investigate the clinical application of dextrozine in the treatment of anterior analgesia with laparoscopic cholecystectomy. Methods A total of 78 patients who underwent laparoscopic cholecystectomy in our hospital from January 2016 to December 2017 were enrolled as the focus of this study. According to the experimental anesthesia dosing program, they were divided into reference group(conventional treatment) and experimental group( Dizocine treatment), and each group was divided into 39 cases. The scores and adverse reactions of analgesia and sedation in all patients were observed, evaluated, and summarized. Results The postoperative respiratory recovery time(7.8±1.4)min, recovery time(9.1±2.0) min, extubation time(14.6±3.5)min in the experimental group were significantly better than the reference group(t =0.682,0.984,0.791, P >0.05); postoperative analgesia in the experimental group was 4 h(2.02±1.11)points, 8 h(4.08±1.68)points, 16 h(2.08±1.14)points, 24 h(0.53±0.55)points, sedation 4 h(2.57±0.44)points,8 h(1.72±0.46)points, 16 h(1.14±0.36)points, and 24 h(0.88±0.51)points were better than the reference group(t=4.523, 4.532, 4.623, 4.953, P<0.05); the patients in the experimental group had adverse reactions after operation. The incidence was 5.13%, which was significantly lower than the reference group(χ2=9.301, P<0.05). Conclusion The clinical effect of dextrozine on laparoscopic cholecystectomy for advanced analgesia is the first choice.
Objective To investigate the clinical application of dextrozine in the treatment of anterior analgesia with laparoscopic cholecystectomy. Methods A total of 78 patients who underwent laparoscopic cholecystectomy in our hospital from January 2016 to December 2017 were enrolled as the focus of this study. According to the experimental anesthesia dosing program, they were divided into reference group(conventional treatment) and experimental group( Dizocine treatment), and each group was divided into 39 cases. The scores and adverse reactions of analgesia and sedation in all patients were observed, evaluated, and summarized. Results The postoperative respiratory recovery time(7.8±1.4)min, recovery time(9.1±2.0) min, extubation time(14.6±3.5)min in the experimental group were significantly better than the reference group(t =0.682,0.984,0.791, P >0.05); postoperative analgesia in the experimental group was 4 h(2.02±1.11)points, 8 h(4.08±1.68)points, 16 h(2.08±1.14)points, 24 h(0.53±0.55)points, sedation 4 h(2.57±0.44)points,8 h(1.72±0.46)points, 16 h(1.14±0.36)points, and 24 h(0.88±0.51)points were better than the reference group(t=4.523, 4.532, 4.623, 4.953, P<0.05); the patients in the experimental group had adverse reactions after operation. The incidence was 5.13%, which was significantly lower than the reference group(χ2=9.301, P<0.05). Conclusion The clinical effect of dextrozine on laparoscopic cholecystectomy for advanced analgesia is the first choice.
引文
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[6]郑彬,佘守章.地佐辛在麻醉镇痛领域的应用进展[J].广东医学,2015,36(21):3266-3268.
[7]何朝霞.不同时间点应用地佐辛对腹腔镜胆囊切除术后的镇痛效果[J].医药论坛杂志,2015,36(7):81-83.
[8]张蕾.地佐辛超前镇痛法在腹腔镜胆囊切除术后镇痛中的应用效果[J].当代医药论丛,2017,15(16):70-71.
[2]梁月影,张绍鹏.地佐辛超前镇痛在腹腔镜胆囊切除术中的应用研究[J].继续医学教育,2017,31(4):135-137.
[3]窦林彬,刘冰,李江伟.地佐辛超前镇痛在腹腔镜胆囊切除术中的效果观察[J].山东医药,2013,53(38):60-61.
[4]王建生,彭英.地佐辛在腹腔镜胆囊切除术中的临床应用[J].中国煤炭工业医学杂志,2013,16(5):700-701.
[5]蒋廷仁,贺菲,梁明华.腹腔镜胆囊切除术采用地佐辛对超前镇痛的临床效果分析[J].当代医学,2017,23(23):122-123.
[6]郑彬,佘守章.地佐辛在麻醉镇痛领域的应用进展[J].广东医学,2015,36(21):3266-3268.
[7]何朝霞.不同时间点应用地佐辛对腹腔镜胆囊切除术后的镇痛效果[J].医药论坛杂志,2015,36(7):81-83.
[8]张蕾.地佐辛超前镇痛法在腹腔镜胆囊切除术后镇痛中的应用效果[J].当代医药论丛,2017,15(16):70-71.