超前镇痛在腹腔镜手术患者中的应用效果

Application Effect of Preemptive Analgesia in Patients Undergoing Laparoscopic Surgery

目的探讨超前镇痛在腹腔镜手术患者中的应用效果。方法选取2016年6月—2018年6月在郴州市第一人民医院行腹腔镜手术的患者92例,采用随机数字表法分为对照组和研究组,每组46例。对照组患者术前未行超前镇痛处理,研究组患者术前行超前镇痛处理。比较两组患者术后2、12、24、48 h视觉模拟评分法(VAS)评分、复苏质量(包括意识恢复时间、拔管时间、拔管后Ramsay评分及苏醒期Rs评分)、不良反应发生情况。结果研究组患者术后2、12、24、48 h VAS评分低于对照组(P<0.05)。两组患者意识恢复时间、拔管时间比较,差异无统计学意义(P>0.05);研究组患者拔管后Ramsay评分高于对照组,苏醒期Rs评分低于对照组(P<0.05)。研究组患者恶心呕吐、呻吟、躁动、头昏嗜睡发生率低于对照组(P<0.05)。结论超前镇痛在腹腔镜手术患者中的应用效果良好,可有效减轻患者疼痛及躁动程度,增强镇静效果,且安全性较高。

Objective To investigate the application effect of preemptive analgesia in patients undergoing laparoscopic surgery.Methods A total of 92 patients undergoing laparoscopic surgery were selected in the First People’s Hospital of Chenzhou from June 2016 to June 2018,and they were divided into control group and research group according to random number table method,with 46 cases in each group.Patients in control group did not received preemptive analgesia,while patients in research group received preemptive analgesia.VAS score 2,12,24 and 48 hours after surgery,resuscitation quality(including recovery time of consciousness,extubation time,Ramsay score after extubation and Rs score during awaking period)and incidence of adverse reactions were compared between the two groups.Results VAS score in research group was statistically significantly lower than that in control group 2,12,24 and 48 hours after surgery,respectively(P<0.05).No statistically significant difference of recovery time of consciousness or extubation time was found between the two groups(P>0.05);Ramsay score after extubation in research group was statistically significantly higher than that in control group,while Rs score during awaking period in research group was statistically significantly lower than that in control group(P<0.05).Incidence of nausea and vomiting,groan,agitation,dizziness and sleepiness in research group was statistically significantly lower than that in control group,respectively(P<0.05).Conclusion Preemptive analgesia has good application effect in patients undergoing laparoscopic surgery,can effectively reduce the degree of pain and agitation,improve the sedative effect,with relatively high safety.