氟比洛芬酯与吗啡术后镇痛的首剂效果观察及护理  

To observe and nursing care of the affect of first doze of analgesic in the patients with flubiprofen axetil and morphe

作　　者：陈信芝[1] 黄宝琴[1] 郑丹华[1] 黎尚荣[1] 

机构地区：[1]广州中山大学附属第三医院手术麻醉中心,广州510630

出　　处：《中国民族民间医药》2011年第18期125-126,共2页Chinese Journal of Ethnomedicine and Ethnopharmacy

摘　　要：目的:比较观察使用氟比洛芬酯(凯纷)与吗啡对中等择期手术病人的首剂镇痛效果,采取相应的护理措施,提高优质护理,满足病人的需要。方法:100例病人随机分为两组,凯纷组(A组,n=50);吗啡组(B组,n=50);术后15min、30min、45min、60min分别观察口述描绘镇痛(VRS)评分、镇静评分、病人满意度、恶心、呕吐、呼吸等不良反应。结果:A组与B组病人镇痛效果和满意度相似;吗啡组产生的镇静作用大于凯纷组(P<0.05);凯纷组恶心、呕吐发生率大于吗啡组,有显著性差异。结论:凯纷与吗啡组均可取得良好的镇痛效果,但两组的的护理策略侧重点不同。吗啡组应侧重防止术后过度镇静、呼吸抑制,而凯纷组则应更侧重防治术后恶心、呕吐。Objective： To observe the affect of first doze of analgesic in the patients of selective operations with tlubiprofen axetil and morphe , and to take appropriate nursing measures to satisfy the needs of the patients. Methods： 100 were randomly devided into two grouds,, Groud fludiprofen axetil （groud A, n = 50）, and geoud morphe （ Groud B, n = 50）. ReeordorgVRS sedato on level patients, s satosifaction degree and side effects of nausea vomiting and respiratory depression at 15min. 30rain , 45rain, 60min after operation Result： there were no significant difference in VRS and patients, s satosifaction degree between two groups. The sedative effects in group morphe were sinifieanthy higher than those in group flubiprofen axetil （ P 〈 0. 05 ） ; Nausea and vomiting in group A were significantly higher than group B Conclusion： Flubiprofen axetil and morphe both could provide satisfied analgesia effects but it was diffent to focus on strategy between two groups Group Bshould focus on preventorg post - operative over sedation and respiratory depression Group A should focus on preventing post -operative nausea and vomiting

关 键 词：首剂镇痛 凯纷 吗啡 护理 

分 类 号：R473.6[医药卫生—护理学]