中国药业
中國藥業
중국약업
China Pharmaceuticals
2015年
19期
76-77,78
,共3页
临床护理路径%酮咯酸氨丁三醇%腹腔镜胆囊切除术%疼痛
臨床護理路徑%酮咯痠氨丁三醇%腹腔鏡膽囊切除術%疼痛
림상호리로경%동각산안정삼순%복강경담낭절제술%동통
clinical nursing pathways%laparoscopic cholecystectomy%ketorolac tromethamine treatment%pain
目的：观察酮咯酸氨丁三醇联合临床护理路径用于腹腔镜胆囊切除术后镇痛的临床效果。方法选取接受腹腔镜胆囊切除术的患者86例，给予酮咯酸氨丁三醇治疗，按是否给予临床护理路径分为研究组和对照组。结果研究组术后各时点的视觉模拟评分( VAS )均较对照组低( P﹤0.05，P ﹤0.01)；两组患者术后不良反应的发生均较少，且研究组术后恶心、呕吐、眩晕的发生率低于对照组（ P﹤0.05）；两组患者术后镇痛满意度及术后恢复情况均较好，镇痛效果良好，研究组总体镇痛满意度更高（ P﹤0.05）；两组患者术后排气时间和进食时间有显著性差异（ P﹤0.01），下床活动时间亦有显著性差异（ P﹤0.05）。结论临床护理路径联合酮咯酸氨丁三醇在腹腔镜胆囊切除术后镇痛中能产生满意的镇痛效果，有效减少恶心、呕吐、眩晕等不良反应，高效缩短术后恢复时间，增加患者镇痛满意度，值得临床推广。
目的：觀察酮咯痠氨丁三醇聯閤臨床護理路徑用于腹腔鏡膽囊切除術後鎮痛的臨床效果。方法選取接受腹腔鏡膽囊切除術的患者86例，給予酮咯痠氨丁三醇治療，按是否給予臨床護理路徑分為研究組和對照組。結果研究組術後各時點的視覺模擬評分( VAS )均較對照組低( P﹤0.05，P ﹤0.01)；兩組患者術後不良反應的髮生均較少，且研究組術後噁心、嘔吐、眩暈的髮生率低于對照組（ P﹤0.05）；兩組患者術後鎮痛滿意度及術後恢複情況均較好，鎮痛效果良好，研究組總體鎮痛滿意度更高（ P﹤0.05）；兩組患者術後排氣時間和進食時間有顯著性差異（ P﹤0.01），下床活動時間亦有顯著性差異（ P﹤0.05）。結論臨床護理路徑聯閤酮咯痠氨丁三醇在腹腔鏡膽囊切除術後鎮痛中能產生滿意的鎮痛效果，有效減少噁心、嘔吐、眩暈等不良反應，高效縮短術後恢複時間，增加患者鎮痛滿意度，值得臨床推廣。
목적：관찰동각산안정삼순연합림상호리로경용우복강경담낭절제술후진통적림상효과。방법선취접수복강경담낭절제술적환자86례，급여동각산안정삼순치료，안시부급여림상호리로경분위연구조화대조조。결과연구조술후각시점적시각모의평분( VAS )균교대조조저( P﹤0.05，P ﹤0.01)；량조환자술후불량반응적발생균교소，차연구조술후악심、구토、현훈적발생솔저우대조조（ P﹤0.05）；량조환자술후진통만의도급술후회복정황균교호，진통효과량호，연구조총체진통만의도경고（ P﹤0.05）；량조환자술후배기시간화진식시간유현저성차이（ P﹤0.01），하상활동시간역유현저성차이（ P﹤0.05）。결론림상호리로경연합동각산안정삼순재복강경담낭절제술후진통중능산생만의적진통효과，유효감소악심、구토、현훈등불량반응，고효축단술후회복시간，증가환자진통만의도，치득림상추엄。
Objective To explore the analgesia effect of clinical nursing pathways for the laparoscopic cholecystectomy with ketorolac tromethamine treatment. Methods A total of 86 patients in the hospital underwent laparoscopic cholecystectomy were divided into two groups, which were treated with ketorolac tromethamine. The study group received clinical nursing pathways, and the control group were received common nursing. Results VAS scores shown that study group were lower than control group at each time points, the differ-ences between the two groups were significant when compared at the same point ( P ﹤ 0. 05, P ﹤ 0. 01 );the incidences of adverse reactions of two groups were low, and the incidence of nausea, and vomiting, and dizziness in study group was obviously less than con-trol group ( P ﹤ 0. 05 ); the analgesic satisfaction of two groups were high, and the analgesia satisfaction of study group were higher when compared to the control group ( P ﹤ 0. 05 );the exhaust time and feeding time postoperative of study group were significantly low-er than control group ( P ﹤ 0. 01 ) , and the time to begin exercise also had significant difference ( P ﹤ 0. 05 ) . Conclusion Clinical nursing pathways combined with ketorolac tromethamine has obvious analgesic effect. It can be effective in reducing nausea, vomiting and dizziness, and effectively shortens the recovery time, increases analgesia satisfaction of patients, and worthy of clinical application.
