【摘要】 目的探讨不同模式镇痛在妇科微创手术中的应用有效性与安全性。方法方便选取2013年1月—2016年6月该院妇科收治的65例微创手术患者为研究对象,随机分3组。A组患者术后静注地佐辛镇痛;B组患者术后以芬太尼联合地佐辛镇痛;C组患者于术毕前30 min静注地佐辛镇痛。以VAS疼痛评分和Ramsay镇静评分于术后不同时段对患者的镇痛效果和镇静效果进行评估,观察患者用药后不良反应。结果 A、B、C 3组镇痛优良率分别为80.95%、95.45%和90.91%,B组、C组镇痛优良率高于A组,差异均有统计学意义(P<0.05)。结论妇科微创术后以地佐辛和芬太尼给予患者超前镇痛或联合镇痛,其镇痛效果优于术后单一用药镇痛且不会加重患者不良反应。更多还原

【Abstract】 Objective To explore the effectiveness and safety of different modes of analgesia in gynecologic minimally invasive surgery. Methods Convenient selection 65 cases of minimally invasive surgery in our hospital from January 2013 to June 2016 in our hospital were randomly divided into three groups, patients were randomly divided into groups. Note dezocine analgesia after a group of patients undergoing intravenous for; patients in group B with fentanyl combined with dezocine analgesia; group C patients in postoperative 30 min static note dezocine analgesia. The analgesic effect and sedative effect of VAS pain score and Ramsay sedation score at different time periods were evaluated, and the adverse drug reaction was observed. Results The good rates of analgesia in A, B and C were 80.95%, 95.45% and 90.91%, and the good rate of analgesia in group B and group C was higher than that in group A,the difference was statistically significant(P < 0.05).Conclusion After gynecologic minimally invasive surgery with dezocine and fentanyl given patients preemptive analgesia or joint pain, the analgesic effect is better than that of the operation of single drug analgesia without aggravating the adverse reactions in patients.更多还原