中国民康医学
中國民康醫學
중국민강의학
MEDICAL JOURNAL OF CHINSEE PEOPLE HEALTH
2015年
1期
4-6
,共3页
羟考酮注射液%麻醉恢复室( PACU)%疗效
羥攷酮註射液%痳醉恢複室( PACU)%療效
간고동주사액%마취회복실( PACU)%료효
Oxycodone injection%PACU%Effect
目的：：观察腹腔镜胆囊切除患者术后在麻醉恢复室( PACU)应用羟考酮注射液(奥诺美)镇痛的疗效及安全性。方法：随机选择ASA Ⅰ或Ⅱ级腹腔镜胆囊切除术后视觉模拟评分( VAS)为7分及以上的患者60例，分为两组各30例；镇痛组患者给予羟考酮注射液5 mg稀释至5 ml经静脉注射，对照组患者给予0.9%NaCl注射液5 ml经静脉注射，采用VAS疼痛评分。并记录注药前及注药后每隔5 min的NT值。同时观察患者生命体征变化，以及恶心、呕吐、呼吸抑制等不良反应。结果：镇痛组患者在注药5 min后VAS评分明显下降，于20 min后降至0分；而对照组患者在注药10 min后VAS评分已升至10分，直至离开PACU；镇痛组患者在注药10 min后出现NT值一过性下降，但很快恢复；镇痛组患者的生命体征注药后无明显变化，未延长患者在PACU的滞留时间；不良反应无明显增多。结论：羟考酮注射液可安全用于腹腔镜胆囊切除患者术后镇痛，适合于PACU的镇痛管理。
目的：：觀察腹腔鏡膽囊切除患者術後在痳醉恢複室( PACU)應用羥攷酮註射液(奧諾美)鎮痛的療效及安全性。方法：隨機選擇ASA Ⅰ或Ⅱ級腹腔鏡膽囊切除術後視覺模擬評分( VAS)為7分及以上的患者60例，分為兩組各30例；鎮痛組患者給予羥攷酮註射液5 mg稀釋至5 ml經靜脈註射，對照組患者給予0.9%NaCl註射液5 ml經靜脈註射，採用VAS疼痛評分。併記錄註藥前及註藥後每隔5 min的NT值。同時觀察患者生命體徵變化，以及噁心、嘔吐、呼吸抑製等不良反應。結果：鎮痛組患者在註藥5 min後VAS評分明顯下降，于20 min後降至0分；而對照組患者在註藥10 min後VAS評分已升至10分，直至離開PACU；鎮痛組患者在註藥10 min後齣現NT值一過性下降，但很快恢複；鎮痛組患者的生命體徵註藥後無明顯變化，未延長患者在PACU的滯留時間；不良反應無明顯增多。結論：羥攷酮註射液可安全用于腹腔鏡膽囊切除患者術後鎮痛，適閤于PACU的鎮痛管理。
목적：：관찰복강경담낭절제환자술후재마취회복실( PACU)응용간고동주사액(오낙미)진통적료효급안전성。방법：수궤선택ASA Ⅰ혹Ⅱ급복강경담낭절제술후시각모의평분( VAS)위7분급이상적환자60례，분위량조각30례；진통조환자급여간고동주사액5 mg희석지5 ml경정맥주사，대조조환자급여0.9%NaCl주사액5 ml경정맥주사，채용VAS동통평분。병기록주약전급주약후매격5 min적NT치。동시관찰환자생명체정변화，이급악심、구토、호흡억제등불량반응。결과：진통조환자재주약5 min후VAS평분명현하강，우20 min후강지0분；이대조조환자재주약10 min후VAS평분이승지10분，직지리개PACU；진통조환자재주약10 min후출현NT치일과성하강，단흔쾌회복；진통조환자적생명체정주약후무명현변화，미연장환자재PACU적체류시간；불량반응무명현증다。결론：간고동주사액가안전용우복강경담낭절제환자술후진통，괄합우PACU적진통관리。
Objective:To observe efficacy and safety of Oxycodone injection in easing laparoscopic cholecystectomy patientsˊpain in PACU. Methods:60 cases under laparoscopic cholecystectomy (ASA I orⅡ; visual analogue score (VAS) ≥7) were ran_domly divided into experimental group and control group. The experimental group were intravenously injected with 5 mg ( diluted to 5 ml) Oxycodone injection, while the control group were injected with 0. 9% NaCl injection. The VAS was used and NT values of the two groups before and after the injection at every 5-minute were recorded. The vital sign changes of the patients and adverse reactions like nausea, vomiting and respiratory depression were observed. Results:The VAS scores of experiment group had obviously reduced 5 minutes after the injection and reached to 0 20 minutes after the injection;10 minutes after the injection, the VAS scores of control group reached to 10 until the patients leaved the PACU. The NT value of experimental group returned to normal quickly after a transient reduction. After the injection, the vital signs of experimental group were consistent and the time of patients in PACU was not extended. The undesirable effects did not increase obviously. Conclusions:Oxycodone injection is safe in easing pain of laparoscopic cholecys_tectomy patients in PACU and worthy of clinical application.
