氟比洛芬酯超前镇痛联合术前心理干预对妇科腹腔镜手术围术期血流动力学影响  

Efficacy of preemptive analgesia of flurbiprofen axetil combined with psychological intervention on haemodynamics inperiopertive period of gynecological laparoscopy

作　　者：侯军凯[1] 李治松[1] 张卫[1] 

机构地区：[1]郑州大学第一附属医院麻醉科、河南省高等学校临床医学重点学科开放实验室,450052

出　　处：《实用医学杂志》2014年第8期1306-1308,共3页The Journal of Practical Medicine

基　　金：卫生部与河南省卫生厅联合基金(编号:20090109)

摘　　要：目的：观察氟比洛芬酯超前镇痛联合术前心理干预在妇科腹腔镜手术中的作用与效果。方法：60例美国麻醉医师协会（ASA）分级Ⅰ～Ⅱ级拟行腹腔镜手术的妇科患者，采用随机数表法分为两组（每组30例），氟比洛芬酯超前镇痛组（A组），氟比洛芬酯超前镇痛联合心理干预组（B组）。A组术前1d常规访视，B组术前1d行常规访视同时给予心理干预。两组均于手术开始前10min缓慢静脉注射氟比洛芬酯1mg／kg。对比观察两组围术期血流动力学变化及麻醉恢复期患者的躁动发生程度。结果：B组患者围术期血流动力学波动小于A组，B组患者麻醉恢复期合作程度较A组高，且差异具有统计学意义（P〈0．05）。结论：氟比洛芬酯超前镇痛联合术前心理干预在妇科腹腔镜手术中可有效降低围术期患者血流动力学波动，提高麻醉恢复期患者合作程度，利于提高手术及麻醉的安全性。Objective To compare the effect of preemptive analgesia of flurbiprofen axetil combined with preoperative psychological intervention on gynecological laparoscopy operation. Methods 60 patients （ASA Ⅰ-Ⅱ ） were randomly assigned into two groups. The patients in group A（n = 30） only received conventional pre- operative analgesia,and those in group B （n = 30） received conventional pre-operative analgesia combined with psychological intervention. Group A received routinely visiting and group B received routinely visiting and psychological intervention, Both groups received intravenous injection of flurbiprofen axetil 1 mg / kg slowly 10mins before surgery. The perioperative hemodynamic changes and restless intensity of anesthesia recovery were monitored. Results The perioperative hemodynamic changes in group B were significantly lower than in group A, and the cooperation degree in anesthesia recovery in group B was obviously higher than that in group A （P 〈 0.05）. Conclusions Preemptive analgesia of flurbiprofen axetil combined with preoperative psychological intervention can effectively decreas the perioperative hemodynamic variation and improve cooperation degree and security of gynecological laparoscopy.

关 键 词：超前镇痛 心理干预 妇科腹腔镜 

分 类 号：R614[医药卫生—麻醉学]