超前镇痛在子宫动脉栓塞术患者中的应用与管理  

Application and management of preemptive analgesia in patients with uterine artery embolization

作　　者：马益敏[1] MA Yi - min(Interventional department of the people＇s Hospital of Taixing City, Jiangsu Province, Taixing 225400, Chin)

机构地区：[1]江苏省泰兴市人民医院介入科,江苏泰兴225400

出　　处：《吉林医学》2017年第8期1575-1577,共3页Jilin Medical Journal

摘　　要：目的:将超前镇痛护理理念应用于子宫动脉栓塞术后的患者中并评价其效果。方法:将42例子宫动脉栓塞患者分为对照组(n=17)与观察组(n=25),对照组术后按常规落实各项疼痛护理措施,观察组在常规落实各项疼痛护理措施中融入超前镇痛护理理念,即在手术前由麻醉科医生行硬膜外穿刺置管,硬膜外导管连接镇痛泵,在术后进行预见性疼痛评估,根据患者实际情况实施自我控制止痛法(PCA)。结果:术后观察组的疼痛评分、睡眠评分明显低于对照组,差异有统计学意义(P<0.05),其疼痛发生率明显低于对照组。结论:超前镇痛对子宫动脉栓塞术后患者的疼痛管理具有积极的作用,有利于患者早日康复。Objective To evaluate the effect of preemptive analgesia in patients with uterine artery embolization. Method 42 patients with uterine artery embolization were randomly divided into control group（ n = 17） and observation group（ n = 25）. The control group received routine nursing care measures,and the observation group in the conventional implementation of the pain nursing measuresd into preemptive analgesia nursing concept. That was to say,the epidural catheter was inserted before the operation,and the epidural catheter was connected with the analgesia pump,and anticipatory pain assessment after surgery. According to the actual situation of patients with self control analgesia（ PCA）. Results The pain score and sleep score of observation group was significantly lower than the control group after the operation（ P〈0. 05）. And the incidence of pain was significantly lower than that of the control group. Conclusion Preemptive analgesia on pain management in patients with uterine artery embolization have a positive effect,and conducive to early rehabilitation of patients.

关 键 词：超前镇痛 子宫动脉栓塞术 自我控制止痛法(PCA) 

分 类 号：R473.71[医药卫生—护理学]