护理干预及帕瑞昔布钠对妇科全麻腹腔镜患者苏醒的影响

目的:观察术前护理及术中使用帕瑞昔布钠对全麻妇科腹腔镜手术患者苏醒期躁动、疼痛及血流动力学的影响。方法:选取ASAⅠ-Ⅱ级全麻下妇科腹腔镜手术患者90例,随机分为3组:A组及B组手术结束前静注帕瑞昔布钠40mg,B组术前一日由麻醉护士行术前访视,C组为对照组,手术结束前静注生理盐水5ml。手术结束带气管导管送麻醉后恢复室(PACU),比较三组麻醉效果。结果:三组患者入室MAP、HR无显著差异。苏醒后拔管前、拔管后及出室时MAP、HRA组及B组均明显低于C组。患者苏醒期间RS评分,A组及B组均显著低于C组,而B组RS评分也明显低于A组。VAS评分A组及B组均显著低于C组。术后满意度评分A、B两组均显著高于C组,而B组则显著高于A组。结论:帕瑞昔布钠能有效减轻苏醒期疼痛,减少苏醒期躁动的发生。

Objective:To observe the effect of preoperative nursing and intraoperative use of parecoxib sodium on restlessness, pain and hemodynamics in patients with general gynecological laparoscopic surgery. Methods:Ninety patients with gynecologic laparoscopic surgery under ASA Ⅰ-Ⅰwere divided into three groups: group A and group B were treated with 40 hours before the end of the operation. Group B was treated by anesthesia nurse Preoperative visit, group C as the control group, before the end of surgery intravenous saline 5 ml. End of operation with tracheal tube to send anesthesia recovery room(PACU), compared the three groups of anesthesia effect. Results:There were no significant differences in MAP and HR between the three groups. Before and after extubation, MAP, HR group A and group B were significantly lower than those in group C before and after extubation. The scores of RS were significantly lower in group A and group B than those in group C(P <0.05). VAS scores were significantly lower in group A and B than in group C. Postoperative satisfaction score A and B were significantly higher than those in group C, while group B was significantly higher than group A. Conclusion:Parecoxib sodium can effectively relieve pain during recovery period and reduce the occurrence of restlessness in recovery period.