地佐辛用于腹腔镜子宫切除术的效果分析及护理体会

Effect Analysis and Nursing Experience of Dezocine in Laparoscopic Hysterectomy

目的:分析地佐辛用于腹腔镜子宫切除术的效果分析及护理方法。方法:回顾性分析2013年1月-2015年5月本院收治的120例接受腹腔镜子宫切除手术的患者的临床资料,按照随机数字表法将其分为四组,即A组、B组、C组、D组,每组30例。四组患者给予静脉推注2.5 mg/kg丙泊酚+0.1 mg/kg维库溴铵+0.05 mg/kg咪唑安定,然后给予A组患者静脉推注5μg/kg芬太尼,给予B组患者静脉推注0.1 mg/kg地佐辛,给予C组患者静脉推注0.2 mg/kg地佐辛,给予D组患者静脉推注0.3 mg/kg地佐辛镇痛。所有患者术后均给予相同的护理方法进行护理,对四组患者各观察指标进行对比分析。结果:A组患者T1时的HR显著高于B组、C组、D组(P<0.05),T2、T3、T4、T5时,B组、C组患者的HR均显著高于D组(P<0.05),A组患者的HR均显著低于B组(P<0.05);T2、T3、T4、T5时,A组、B组、C组患者的MAP均显著高于D组(P<0.05),A组患者的MAP均显著低于B组(P<0.05);T2、T3、T4、T5时,A组、B组、C组患者的血清E、NE、Cor浓度均显著高于D组(P<0.05),A组患者的血清E、NE、Cor浓度均显著低于B组、C组(P<0.05);D组患者的一次插管成功时间显著短于A组、B组、C组(P<0.05),VAS评分显著低于A组、B组、C组(P<0.05),A组患者的插管呛咳发生率显著高于C组、D组(P<0.05);D组患者的不良反应发生率显著低于A组、B组、C组(P<0.05)。结论:0.3 mg/kg地佐辛用于腹腔镜子宫切除手术中效果较好。

Objective： To analyze the effect of Dezocine and nursing methods in laparoscopic hysterectomy. Method： The clinical data of 120 patients underwent laparoscopic hysterectomies in our hospital from January 2013 to May 2015 were retrospectively analyzed.They were divided into the four groups according to the random number table method, the group A, group B, group C and group D, 30 cases in each group.The four groups were given 2.5 mg/kg Propofol＋0.1 mg/kg Vecuronium＋0.05 mg/kg Midazolam for intravenous injection, and then the group A was given 5 μ g/kg Fentanyl for intravenous injection, the group B was given for 0.1 mg/kg Dezocine for intravenous injection, the group C was given for 0.2 mg/kg Dezocine for intravenous injection, the group D was given for 0.3 mg/kg Dezocine for intravenous injection.The same nursing care was given to all the patients after surgery.Each observed indexes of the four groups were compared and analyzed.Result： At T1, the HR of group A was significantly higher than group B, C, D （ P〈0.05 ）, at T2, T3, T4, T5, the HR of group B, C were significantly higher than group D （ P〈0.05 ）, the HR of group A was significantly lower than group B （ P〈0.05 ） . At T2, T3, T4, T5, the MAP of group A, B, C were significantly higher than group D （ P〈0.05 ）, the MAP of group A was significantly lower than group B （P〈0.05） .At T2, T3, T4, T5, the serum E, NE, Cor concentrations of group A, B, C were significantly higher than group D （P〈0.05）, the serum E, NE, Cor concentrations of group A were significantly lower than group B, C （ P〈0.05 ） .The successful intubation time of group D was significantly shorter than group A, B, C （ P〈0.05 ）, the VAS score was significantly lower than group A, B, C （ P〈0.05 ）, the cough intubation of group A was significantly higher than group C, D （ P〈0.05 ）,the incidence of adverse reactions in group D was significantly lower than those in group A, B, C （ P〈0.05 ） . Conclusion： The effect of 0.3 mg/kg Dezocine in laparoscopic hysterectomy surgery is better.