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| 两种不同止痛方案对二尖瓣置换术术后患者应激状态的影响 | |
| 引用本文： | 毕娜,姚梅芳,黄津芳,蔡小红,王虹. 两种不同止痛方案对二尖瓣置换术术后患者应激状态的影响[J]. 解放军护理杂志, 2001, 18(5): 7-8 |
| 作者姓名： | 毕娜 姚梅芳 黄津芳 蔡小红 王虹 |
| 作者单位： | 1. 沈阳军区总医院心血管外科 2. 第二军医大学附属长海医院护理部 3. 沈阳军区总医院护理部 |
| 摘 要： | 目的 探讨芬太尼经静脉自控止痛（PCA）对二尖瓣置换术（MVR）术后患者应激状态的缓解作用。方法 60名MVR患者随机分为2组，CAT组为常规止痛组，术后按需给予吗啡0．10-0.20mg/kg静脉注射；PCA组为术后使用PCA给药装置持续输入芬太尼50μg/ml，持续背景输入速度25μg/h，单次给药剂量25μg，锁定时间15min。术后48h内观察止痛效果，术后24h、术后24h,48h测定血糖水平和尿去甲肾上腺素水平。结果 PCA组术后止痛效果明显好于CAT组，术后24h血糖水平CAT组明显高于PCA组（P＜0．05），术后24h,24-48h CAT组尿NA水平均明显高于PCA组（P＜0．05）。结论 芬太尼经静脉PCA用于MVR术后患者可以明显缓解术后应激状态，有利于术后康复。 |
| 关 键 词： | 患者自控止痛 术后应激反应 止痛方法 PCA MVR 二尖瓣置换术 |
| 文章编号： | 1008-9993(2001)05-0007-02 |
| 修稿时间： | 2001-04-02 |
Effects of Two Different Analgesic Protocols on Postoperative Stress of Patients Undergoing Mi-tral Valve Replacement |
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| BI Na,YAO Mei-fang,HUANG Jin-fang,CAI Xiao-hong,WANG Hong. Effects of Two Different Analgesic Protocols on Postoperative Stress of Patients Undergoing Mi-tral Valve Replacement[J]. Nursing Journal of Chinese People's Liberation Army, 2001, 18(5): 7-8 | |
| Authors: | BI Na YAO Mei-fang HUANG Jin-fang CAI Xiao-hong WANG Hong |
| Abstract: | To evaluate the stress level of patients undergoing mitral valve replacement(MVR) who received different postoperative analgesic protocols. 60 MVR patients were divided into two groups: Group A using conventional analgesic treatment ,and group B using Fentany. Analgesic ef-fect, blood glucose and urine NA were observed before and 48 h after operation. The results showed that Fentany markedly alleviated stress of the MVR patients,thus facilitating postoperative recov-ery of these patients. |
| Keywords: | patient conrolled-analgesia postoperative stress postoperative pain |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |