开胸术后影响静脉镇痛效果原因个体差异性分析  

Analysis of Individual Differences of Post-thoracotomy Intravenous Analgesia Effect

作　　者：张丽娟[1] 辛立升[1] 王建荣[1] 孙继红[1] 

机构地区：[1]承德医学院附属医院,河北承德067000

出　　处：《河北医学》2011年第7期957-960,共4页Hebei Medicine

摘　　要：目的:为开胸术后静脉镇痛患者的个体化护理提供依据。方法:对61例开胸术后采用静脉镇痛患者的镇痛效果进行调查分析,计数资料采用率或构成比描述,组间差异进行秩和检验或X2检验,两个变量间的相关关系进行Spearman相关分析。结果:本组患者镇痛有效率为90.2%,患者术前紧张程度高及对静脉镇痛过高的期望,降低了术后的镇痛效果。结论:应充分考虑患者的个体差异性,细化健康教育内容,提高患者对静脉镇痛的客观认识,以期提高镇痛效果,同时加强其心理护理,并针对可能出现的不良反应进行积极的预防和治疗。Objective： To provide evidence for individualized care of intravenous analgesic patients after thoracotomy. Method：A survey was conducted to the effect of intravenovs analyesia on 61 cases. The counting of data was described differences of intravenous through frequency and constituent ratio and was analyzed in terms of the individual analgesia effect by way of rank sum test and X2 test. Result： It showed that the effective rate on the patients was 90.2%, and the high tation on intravenous analgesia reduced postoperative degree of tension before operation and too much expecanalgesic effect on the patients. Conclusion：It can be concluded that adequate consideration of the individual differences, the detailed content of healthy education and patients＇ objective understanding of intravenous analgesia are necessary to sic effect. Furthermore, the enhancement of psychological care and the active possible adverse reactions of such patients are also of great significance. improve postoperative analge- prevention and treatment for

关 键 词：开胸术后 静脉镇痛 护理 

分 类 号：R614[医药卫生—麻醉学]