骶神经阻滞复合全麻行阴道前后壁修补术后疼痛评估  

Pain assessment after anterior and posterior colporrhaphy under sacral nerve block combined with general anesthesia

作　　者：刘硕慧[1] 范天仁[1] 田刘军[1] 张伟杰[1] 柴洪艳[1] 

机构地区：[1]潍坊市人民医院疼痛科,261041

出　　处：《中国现代药物应用》2016年第14期266-267,共2页Chinese Journal of Modern Drug Application

摘　　要：目的对骶神经阻滞复合全身麻醉（全麻）用于阴道前后壁修补术患者术后疼痛进行及时评估并干预。方法 60例60~65岁需行阴道前后壁修补术的患者,随机分为对照组（C组）和研究组（R组）。C组麻醉方式采用单纯全麻插管,R组用骶神经阻滞复合全麻插管。对两组患者术后1、2、6、12、24 h（T1、T2、T3、T4、T5）进行疼痛治疗,疼痛爆发时采用视觉模拟评分法（VAS）进行评估。结果研究组较对照组患者术后24 h镇痛效果好,研究组T1、T2、T3、T4 VAS评分与对照组比较,差异有统计学意义（P〈0.05）。24 h后（T5）患者疼痛减轻（P〉0.05）。对照组24 h内出现爆发痛人数较研究组比较,差异有统计学意义（P〈0.05）。结论阴道前后壁术后患者的及时疼痛评估能指导医师对患者术后疼痛进行合理治疗。Objective To assess and intervene pain after anterior and posterior colporrhaphy under sacral nerve block combined with general anesthesia. Methods A total of 60 patients aging 60~65 years old and receiving anterior and posterior colporrhaphy were randomly divided into control group（group C） and research group（group R）, with 30 cases in each group. Group C received general anesthesia alone, and group R received sacral nerve block combined with general anesthesia. Pain treatment was made on postoperative 1, 2, 6, 12, 24 h（T1, T2, T3, T4, T5） status in both groups, and evaluation was made by visual analogue scale（VAS） during outbreak of pain. Results The research group had better postoperative 24 h analgesic effect than the control group, and the differences of VAS scores in T1, T2, T3 and T4 all had statistical significance between the two groups（P〈0.05）. Pain was relieved after 24 h（T5）（P〈0.05）. The difference of cases with breakthrough pain in 24 h between the control group and the research group had statistical significance（P〈0.05）. Conclusion Timely pain assessment for patients after anterior and posterior colporrhaphy provides guideline for rational treatment of postoperative pain.

关 键 词：骶神经阻滞 全身麻醉 阴道前后壁修补术 疼痛评估 

分 类 号：R614[医药卫生—麻醉学]