低流量吸氧和静脉注射甘露醇联合应用缓解鼻部手术后疼痛的研究  

The analgesic effect of combination of low-flow rate oxygen inhalation with intravenous mannitol injection for patients after nasal operation

作　　者：赵晓丽[1] 黄秋华[1] 申琳[1] 潘光珍[1] 吴莉[1] 齐会萍[1] 

机构地区：[1]湖北省襄樊市中心医院,441021

出　　处：《中国实用护理杂志（中旬版）》2008年第4期45-46,共2页Chinese Journal of Practical Nursing

摘　　要：目的研究低流量吸氧和静脉注射甘露醇联合应用对鼻部手术后的镇痛效果，探讨鼻部手术后缓解疼痛的有效方法。方法将160例鼻部手术患者随机分为A、B、C、D4组，每组各40例。术后A组给予20%甘露醇125ml静脉注射，B组用鼻导管经口低流量吸氧，C组同时给予20％甘露醇125ml静脉注射和鼻导管经口低流量吸氧，D组为对照组，进行常规护理。采用MeGill疼痛评估方法，观察4组镇痛效果。结果疼痛评分：C组低于A、B组，A、B组低于D组（P〈0．01）。鼻部肿胀程度：C组较B组（P〈0．01）和A组（P〈0．05）轻，A组较D组轻（P〈0．01），B组与D组比较差异无统计学意义。结论采用低流量吸氧和静脉注射甘露醇能缓解鼻部手术后疼痛，两者联合应用效果更好。Objective To describe the analgesic effect of low-flow rate oxygen inhalation with intravenous mannitol injection for patients after nasal operation and seek for effective method for alleviation of pain. Methods 160 patients were divided into group A,B,C and D with 40 cases in each group. Group A received intravenous injection of 125 ml of 20% mannitol and group B got low-flow rate oxygen inhalation through nasal canulas.While group C were given the combination of treatment in that of group A and group B.Group D was named the control group and only adopted routine nursing.The pain alleviation effect was observed by McGill pain evaluation method. Results The score of pain in group C was lower than those in group A and B.While the scores of pain in group A and B were lower than that in group D（P 〈 0.01 ）. Conclusion The nasal swelling in group C lightened compared with those of group B （P 〈 0.01 ） and group A （P 〈 0.05 ）.The nasal swelling in group A was lighter than that of group D but no difference was seen between group B and group .D

关 键 词：鼻部手术 镇痛 甘露醇 吸氧 

分 类 号：R472.9[医药卫生—护理学] R765.9[医药卫生—临床医学]