影响妇科腹腔镜手术术后疼痛的相关因素研究  

Relative factors of postoperative pain in gynecological laparoscopy patients

作　　者：倪娟[1] 陈筱静[1] 罗林丽[1] 黄蔚[1] 

机构地区：[1]四川大学华西第二医院麻醉科,四川成都610041

出　　处：《现代预防医学》2012年第7期1632-1633,1636,共3页Modern Preventive Medicine

摘　　要：目的探寻影响妇科腹腔镜手术早期术后疼痛的相关因素,为临床镇痛工作提供指导。方法收集255例妇科腹腔镜手术患者,记录患者年龄,体重,手术时间,二氧化碳用量,手术部位,术中镇痛药物,镇静药物种类及用量,VAS评分,术毕Ramsay镇静评分,恶心呕吐、寒战发生率。将患者的资料采用多重线性回归方法进行统计学分析。结果手术时间长,二氧化碳用量大,寒战,子宫手术的患者术后疼痛强烈;芬太尼、咪达唑仑用量大者术后疼痛评分较低。结论手术时间,手术部位,术中镇痛药,镇静药用量及术后寒战与术后腹部疼痛相关。OBJECTIVE To investigate the relative factors affecting postoperative pain in gynecological laparoscopy patients.METHODS 255 cases of gynecological laparoscopy were enrolled.The age,body mass index,duration of operation,consumption of carbon dioxide,location of the operation,the analgesics and sedatives during the operation,VAS scores and Ramsay sedation score after the operation were recorded.The recorded figures were analyzed statistically with multiple linear regressions.RESULTS Patients with long operation time,large amount of CO2,shiver and uterus surgery suffered severer postoperative pain.Fentanyl and midazolam could relieve postoperative pain.CONCLUSION Postoperative pain is relative to the duration of operation,the location of surgery,the dose of analgesics and sedatives drug and shivering.

关 键 词：疼痛 手术后 腹腔镜 

分 类 号：R713[医药卫生—妇产科学]