中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2015年
8期
568-571
,共4页
利多卡因%氟比洛芬%镇痛%腹腔镜检查
利多卡因%氟比洛芬%鎮痛%腹腔鏡檢查
리다잡인%불비락분%진통%복강경검사
Lidocaine%Flurbiprofen%Analgesia%Laparoscopy
目的 比较妇科腹腔镜手术碳酸利多卡因盆腔冲洗联合创口浸润与术后静脉注射氟比洛芬酯的镇痛效果.方法 择期全身麻醉下妇科腹腔镜手术患者75例,采用随机数字表法分为三组,每组25例.对照1组:手术结束静脉注射氟比洛芬酯100 mg;对照2组:手术结束用0.35％碳酸利多卡因100 ml冲洗盆腔,并用0.87％碳酸利多卡因10 ml对腹部创口局部浸润;观察组:联合应用对照1组和对照2组的方法.记录术后1,4,8,12,24 h疼痛视觉模拟评分(VAS),肛门排气时间,不良反应等.结果 对照1组和观察组各有1例退出研究.观察组术后1,4,8,12,24 h VAS分别为(9.5±7.9)、(14.9±8.7)、(17.2±10.3)、(12.2±7.7)、(5.3±3.8) mm,对照1组分别为(39.2±15.0)、(33.4±13.0)、(36.2±12.8)、(35.8±12.7)、(10.6 ±4.2) mm,对照2组分别为(26.6±13.0)、(30.2±12.0)、(33.3±13.1)、(30.4±9.8)、(9.8±4.7)mm,观察组与对照1组、对照2组比较差异有统计学意义(P＜0.05).三组肛门排气时间、不良反应发生率比较差异无统计学意义(P＞0.05).结论 妇科腹腔镜手术后碳酸利多卡因盆腔冲洗联合创口局部浸润与术后静脉注射氟比洛芬酯较单独应用明显减轻了患者术后疼痛程度,减少了术后镇痛药的使用.
目的 比較婦科腹腔鏡手術碳痠利多卡因盆腔遲洗聯閤創口浸潤與術後靜脈註射氟比洛芬酯的鎮痛效果.方法 擇期全身痳醉下婦科腹腔鏡手術患者75例,採用隨機數字錶法分為三組,每組25例.對照1組:手術結束靜脈註射氟比洛芬酯100 mg;對照2組:手術結束用0.35％碳痠利多卡因100 ml遲洗盆腔,併用0.87％碳痠利多卡因10 ml對腹部創口跼部浸潤;觀察組:聯閤應用對照1組和對照2組的方法.記錄術後1,4,8,12,24 h疼痛視覺模擬評分(VAS),肛門排氣時間,不良反應等.結果 對照1組和觀察組各有1例退齣研究.觀察組術後1,4,8,12,24 h VAS分彆為(9.5±7.9)、(14.9±8.7)、(17.2±10.3)、(12.2±7.7)、(5.3±3.8) mm,對照1組分彆為(39.2±15.0)、(33.4±13.0)、(36.2±12.8)、(35.8±12.7)、(10.6 ±4.2) mm,對照2組分彆為(26.6±13.0)、(30.2±12.0)、(33.3±13.1)、(30.4±9.8)、(9.8±4.7)mm,觀察組與對照1組、對照2組比較差異有統計學意義(P＜0.05).三組肛門排氣時間、不良反應髮生率比較差異無統計學意義(P＞0.05).結論 婦科腹腔鏡手術後碳痠利多卡因盆腔遲洗聯閤創口跼部浸潤與術後靜脈註射氟比洛芬酯較單獨應用明顯減輕瞭患者術後疼痛程度,減少瞭術後鎮痛藥的使用.
목적 비교부과복강경수술탄산리다잡인분강충세연합창구침윤여술후정맥주사불비락분지적진통효과.방법 택기전신마취하부과복강경수술환자75례,채용수궤수자표법분위삼조,매조25례.대조1조:수술결속정맥주사불비락분지100 mg;대조2조:수술결속용0.35％탄산리다잡인100 ml충세분강,병용0.87％탄산리다잡인10 ml대복부창구국부침윤;관찰조:연합응용대조1조화대조2조적방법.기록술후1,4,8,12,24 h동통시각모의평분(VAS),항문배기시간,불량반응등.결과 대조1조화관찰조각유1례퇴출연구.관찰조술후1,4,8,12,24 h VAS분별위(9.5±7.9)、(14.9±8.7)、(17.2±10.3)、(12.2±7.7)、(5.3±3.8) mm,대조1조분별위(39.2±15.0)、(33.4±13.0)、(36.2±12.8)、(35.8±12.7)、(10.6 ±4.2) mm,대조2조분별위(26.6±13.0)、(30.2±12.0)、(33.3±13.1)、(30.4±9.8)、(9.8±4.7)mm,관찰조여대조1조、대조2조비교차이유통계학의의(P＜0.05).삼조항문배기시간、불량반응발생솔비교차이무통계학의의(P＞0.05).결론 부과복강경수술후탄산리다잡인분강충세연합창구국부침윤여술후정맥주사불비락분지교단독응용명현감경료환자술후동통정도,감소료술후진통약적사용.
Objective To compare the analgesia effect of lidocaine carbonate combined with intravenous flurbiprofen axetil with intravenous flurbiprofen axetil on intrapelvic irrigation and incision infiltration after gynecological laparoscopy.Methods Seventy-five patients scheduled for gynecological laparoscopy under general anesthesia were divided into 3 groups by random number table method with 25 cases each.Patients in control group 1 receivcd intravenous flurbiprofen axetil 100 mg after surgery;patients in control group 2 received intrapelvic irrigation with 0.35％ lidocaine carbonate 100 ml,and incision infiltration with 0.87％ lidocaine carbonate 10 ml respectively after surgery;patients in observation group received the combination of control group 1 and control group 2.The visual analogue scores (VAS) at 1,4,8,12 and 24 h after surgery,time of passage of gas by anus and untoward reaction were recorded.Results One case in control group 1 and 1 case in observation group withdrew from the study.The VAS at 1,4,8,12 and 24 h in observation group were (9.5 ± 7.9),(14.9 ± 8.7),(17.2 ± 10.3),(12.2 ± 7.7),(5.3 ± 3.8) mm,in control group 1 were (39.2 ± 15.0),(33.4 ± 13.0),(36.2 ± 12.8),(35.8 ± 12.7),(10.6 ± 4.2) mm,and in control group 2 were (26.6 ± 13.0),(30.2 ± 12.0),(33.3 ± 13.1),(30.4 ±9.8),(9.8 ±4.7) mm.And there were statistical differences between observation group and control group 1,2 (P ＜ 0.05).There were no statistical differences in time of passage of gas by anus and untoward reaction incidence in the 3 groups (P ＞ 0.05).Conclusion Intrapelvic irrigation and incision infiltration with lidocaine carbonate and intravenous flurbiprofen axetil compared with intravenous flurbiprofen axetil alone after gynecological laparoscopy can significantly reduce the pain intensity and analgesia requirement,without increasing the untoward reaction incidence.
