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地佐辛用于腹腔镜下胆囊切除手术术后镇痛的临床观察
引用本文:石海霞,于建设.地佐辛用于腹腔镜下胆囊切除手术术后镇痛的临床观察[J].麻醉与监护论坛,2012(2):128-129.
作者姓名:石海霞  于建设
作者单位:内蒙古医学院附属医院,麻醉科,内蒙古呼和浩特010050
摘    要:目的:观察地佐辛用于腹腔镜下胆囊切除手术术后的镇痛效果。方法:ASAⅠ或Ⅱ级择期拟行腹腔镜胆囊切除手术的患者40例,随机均分为地佐辛组(D)和对照组(C)。观察病人清醒时间,拔管时间以及拔管时、拔管后30分钟、1小时、2小时和6小时各时间点的疼痛视觉模拟评分(VAS),术后恶心呕吐情况,病人满意度。结果:D组拨管后1小时、2小时VAS评分均较C组低(P〈0.05)。病人满意度D组高于C组(P〈0.05)。结论:地佐辛用于腹腔镜胆囊切除手术,可缓解术后疼痛,提高病人满意度。

关 键 词:地佐辛  胆囊  腹腔镜  疼痛

The Analgesic Efficacy of Dezocine Post Operation of Laparoscopic Cholecystectomy
Institution:Hoi-xio Shi,Jion-she Yu Department of Anesthesiology, the Hospital Affiliated to Inner Mongolia Medical College, Hohhot, Inner Mongolia, 010050
Abstract:Objective: Observe the analgesic efficacy of Dezocine post operation of Laparoscopic cholecystectomy. Method: 40 ASA Ⅰ or Ⅱ ,scheduled for gallbladder excision, under Laparoscopic cholecystectomy, were randomly allocated in 2 groups: Group Dezocine(Group D) and Group Control(Group C). Observed the awake time, extubation time, recorded VAS at different time points: 30 minutes, 1 hour, 2 hours, 6 hours after extubation respectively, the numbers of Postoperative nausea and vomiting, the patients'satisfaction. Results: Visual analog scale (VAS) at Group D 1 hour, 2 hours, 6 hours after extubation, Group D was less than Group C, In Group D, the patients satisfaction was higher. Conclusion: Dezocine used post operation of Laparoscopic cholecystectomy, can relieve pain, and improve the patients' satisfaction.
Keywords:Dezocine  Gallbladder  Laparescopic cholecystectomy  Pain
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