CAJ | 학술논문

目的研究低流量吸氧和静脉注射甘露醇联合应用对鼻部手术后的镇痛效果,探讨鼻部手术后缓解疼痛的有效方法.方法将160例鼻部手术患者随机分为A、B、C、D 4组,每组各40例.术后A组给予20%甘露醇125 ml静脉注射,B组用鼻导管经口低流量吸氧,C组同时给予20%甘露醇125ml静脉注射和鼻导管经口低流量吸氧,D组为对照组,进行常规护理.采用McGill疼痛评估方法,观察4组镇痛效果.结果疼痛评分:C组低于A、B组,A、B组低于D组(P<0.01).鼻部肿胀程度:C组较B组(P<0.01)和A组(P<0.05)轻,A组较D组轻(P<0.01),B组与D组比较差异无统计学意义.结论采用低流量吸氧和静脉注射甘露醇能缓解鼻部手术后疼痛,两者联合应用效果更好.
목적 연구저류량흡양화정맥주사감로순연합응용대비부수술후적진통효과,탐토비부수술후완해동통적유효방법.방법 장160례비부수술환자수궤분위A、B、C、D 4조,매조각40례.술후A조급여20%감로순125 ml정맥주사,B조용비도관경구저류량흡양,C조동시급여20%감로순125ml정맥주사화비도관경구저류량흡양,D조위대조조,진행상규호리.채용McGill동통평고방법,관찰4조진통효과.결과 동통평분:C조저우A、B조,A、B조저우D조(P<0.01).비부종창정도:C조교B조(P<0.01)화A조(P<0.05)경,A조교D조경(P<0.01),B조여D조비교차이무통계학의의.결론 채용저류량흡양화정맥주사감로순능완해비부수술후동통,량자연합응용효과경호.
Objective To describe the analgesic effect of low-flow rate oxygen inhalation with intravenous mannitol injection for patients after nasal operation and seek for effective method for allevia-tion of pain.Methods 160 patients were divided into group A,B,C and D with 40 cases in each group.Group A received intravenous injection of 125 ml of 20%mannitol and group B got low-flow rate oxygen inhalation through nasal canulas.While group C were given the combination of treatment in that of group A and group B.Group D was named the control group and only adopted routine nursing.The pain alleviation effect was observed by McGill pain evaluation method.Results The score of pain in group C was lower than those in group A and B.While the scores of pain in group A and B were lower than that in group D(P<0.01).Conclusion The nasal swelling in group C lightened compared with those of group B (P<0.01)and group A(P<0.05).The nasal swelling in group A was lighter than that of group D but no difference Was seen between group B and group D