骶神经阻滞复合全麻行阴道前后壁修补术后疼痛护理体会

Pain nursing experience after anterior-posterior colporrhaphy under sacral nerve block combined with general anesthesia

目的研究骶神经阻滞复合全身麻醉（全麻）用于阴道前后壁修补术患者术后疼痛护理体会。方法 60例年龄60~65岁需行阴道前后壁修补术的患者,随机分为对照组和研究组,各30例。对照组采用单纯全麻插管,研究组采用骶神经阻滞复合全麻插管。对比两组治疗效果。结果研究组较对照组患者术后24 h镇痛效果好,研究组在T1、T2、T3、T4时刻视觉模拟评分法（VAS）≥7分患者例数与对照组比较,差异均有统计学意义（P〈0.05）;研究组T5时刻VAS≥7分患者例数与对照组比较,差异无统计学意义（P〉0.05）。结论骶神经阻滞复合全麻用于阴道前后壁修补术能明显减轻疼痛护理工作量。

Objective To research pain nursing experience after anterior-posterior colporrhaphy under sacral nerve block combined with general anesthesia. Methods A total of 60 patients aging 60~65 years old, who received anterior-posterior colporrhaphy, were randomly divided into control group and research group, with 30 cases in each group. The control group received simple general anesthesia intubation, and the research group received sacral nerve block combined with general anesthesia intubation. Curative effects were compared between the two groups. Results The research group had better postoperative 24 h analgesic effect than the control group, and it had more cases with visual analogue scale（VAS） score ≥ 7 points than the control group in T1, T2, T3 and T4. Their differences all had statistical significance（P〈0.05）. There was no statistically significant difference of cases with VAS ≥ 7 points in T5 between the research group and the control group（P〈0.05）. Conclusion Combination of sacral nerve block and general anesthesia in anterior-posterior colporrhaphy can remarkably reduce work load in pain nursing.