酮咯酸氨丁三醇联合临床护理用于腹腔镜胆囊切除术后镇痛43例

Ketorolac Tromethamine Combined with Clinical Nursing for Treating Pain after Laparoscopic Cholecystectomy in 43 Cases Treatment

目的观察酮咯酸氨丁三醇联合临床护理路径用于腹腔镜胆囊切除术后镇痛的临床效果。方法选取接受腹腔镜胆囊切除术的患者86例,给予酮咯酸氨丁三醇治疗,按是否给予临床护理路径分为研究组和对照组。结果研究组术后各时点的视觉模拟评分(VAS)均较对照组低(P<0.05,P<0.01);两组患者术后不良反应的发生均较少,且研究组术后恶心、呕吐、眩晕的发生率低于对照组(P<0.05);两组患者术后镇痛满意度及术后恢复情况均较好,镇痛效果良好,研究组总体镇痛满意度更高(P<0.05);两组患者术后排气时间和进食时间有显著性差异(P<0.01),下床活动时间亦有显著性差异(P<0.05)。结论临床护理路径联合酮咯酸氨丁三醇在腹腔镜胆囊切除术后镇痛中能产生满意的镇痛效果,有效减少恶心、呕吐、眩晕等不良反应,高效缩短术后恢复时间,增加患者镇痛满意度,值得临床推广。

Objective To explore the analgesia effect of clinical nursing pathways for the laparoscopic cholecystectomy with ketorolac tromethamine treatment. Methods A total of 86 patients in the hospital underwent laparoscopic cholecysteetomy were divided into two groups, which were treated with ketorolac tromethamine. The study group received clinical nursing pathways, and the control group were received common nursing. Results VAS scores shown that study group were lower than control group at each time points, the differences between the two groups were significant when compared at the same point （P 〈 0.05, P 〈 0.01）; the incidences of adverse reactions of two groups were low, and the incidence of nausea, and vomiting, and dizziness in study group was obviously less than control group （P 〈 0.05）; the analgesic satisfaction of two groups were high, and the analgesia satisfaction of study group were higher when compared to the control group （P 〈 0.05 ）;the exhaust time and feeding time postoperative of study group were significantly lower than control group（P 〈 0. 01）, and the time to begin exercise also had significant difference （P 〈 0. 05）. Conclusion Clinical nursing pathways combined with ketorolac tromethamine has obvious analgesic effect. It can be effective in reducing nausea, vomiting and dizziness, and effectively shortens the recovery time, increases analgesia satisfaction of patients, and worthy of clinical application.