地佐辛联合舒芬太尼用于开腹手术后自控静脉镇痛的效果及护理

摘要

目的：探讨地佐辛联合舒芬太尼用于开腹手术术后自控静脉镇痛的效果及护理方法。方法将60例拟进行腹部手术患者随机分为地佐辛组（D 组）、舒芬太尼组（S 组）、地佐辛联合舒芬太尼组（DS 组），每组各20例。比较3种药物对患者术后3 h、6 h、12 h、24 h、48 h 的镇痛、镇静效果；记录患者有无恶心、呕吐、头晕、呼吸抑制等不良反应；评价3组患者对术后镇痛效果的满意度。结果术后6h、12h、24h、48h 各时间点的 VAS 评分比较，DS 组和 S 组差异无统计学意义（P ＞0．05），但此2组均显著低于 D 组（P ＜0．05）。DS 组镇痛满意度高于 D 组和 S 组（P ＜0．05）。DS 组不良反应发生率低于 D 组和 S 组（P ＜0．05）。结论地佐辛和舒芬太尼联合用于腹部手术术后镇痛时，其镇痛效果优于各自单独用药，且副反应发生率更低；护理人员在术前、术后加强镇痛效果宣教，及时处理不良反应，可增加患者的满意度，提高患者的生活质量。%Objective To explore effect and nursing of Dezocine and Sufentanil on self-controlled vein analgesia after laparotomy.Methods 60 patients undergoing abdominal surgery were randomly divided into Dezocine group (group D),Sufentanil group (group S),and Dezocine and Sufentani group (group DS).Analgesic,sedative effect of three drugs after 3 postoperative hours,6 h,12 h,24 h and 48 h were compared.Adverse reactions such as nausea,vomiting, dizziness,respiratory depression were recorded.Satisfaction of three groups of patients on the post-operative analgesia effect was evaluated.Results After 6 postoperative hours,12 h,24 h and 48 h,the difference of VAS score of group DS was not statistically significant compared with the group S (P >0.05).And the score of group DS and group S were lower than that in the group D (P <0.05).Analgesia satisfaction of group DS was higher than that of group D and group S,and the difference was statistically significant (P <0.05).The incidence of adverse reactions of group DS was lower than that of group D and S ,and the difference was statistically significant (P <0.05).Conclusion The analgesia and sedative effect of the Dezocine and Sufentanil after abdomi-nal surgery is better than drug usage alone,and adverse reactions decreases.Preoperative and post-operative education about analgesic effect,timely dealing with adverse reactions can increase pa-tients’satisfaction and improve the quality of life of the patients.