叙事干预模式在腹腔镜全身麻醉围术期用药中的应用探讨  

Application of Narrative Intervention Model in Medication During Preoperative Period of Laparoscopic General Anesthesia

作　　者：佟俊萍 李建斌[1] 吕金 李静[1] 王宁[1] Tong Junping;Li Jianbin;Lii Jin;Li Jing;Wang Ning(CNPC Central Hospital,Bazhou,Hebei,China 065000)

机构地区：[1]中国石油天然气集团公司中心医院,河北霸州065000

出　　处：《中国药业》2018年第3期55-58,共4页China Pharmaceuticals

基　　金：2015年河北省廊坊市科学技术研究与发展计划自筹经费项目[2015013039]

摘　　要：目的探讨叙事干预模式在腹腔镜全身麻醉围术期用药中的应用。方法选取2016年1月至2017年6月在医院接受外科腹腔镜全身麻醉手术的患者98例,根据入院序号随机分为A组(33例)、B组(32例)、C组(33例)。A组患者麻醉诱导前1 h口服加巴喷丁胶囊300 mg,B组患者手术结束后静脉输注注射用盐酸雷莫司琼0.3 mg,C组患者结合A组和B组治疗方法,且3组均采用常规结合叙事干预模式。结果术后0~2 h,2~24 h,24~48 h 3个时间段,C组患者无恶心感例数明显多于A组和B组(P<0.05),完全缓解例数明显多于A组和B组(P<0.05);3组患者术后48 h内不良反应(头晕、头痛、困倦)无明显差异(P>0.05),对干预的总满意度均高于90.00%。结论加巴喷丁联合雷莫司琼预防外科腹腔镜全身麻醉手术后恶心呕吐应用效果优于单独用药,患者对常规结合叙事干预模式的满意度较高。O bjective To investigate the application of narrative intervention model in medication during preoperative period of laparoscopic general anesthesia.M ethods Totally 98 patients undergoing laparoscopic general anesthesia in our hospital from January 2016 to June 2017 were selected and divided into group A(33 cases),group B(32 cases)and group C(33 cases)according to the admission number.1 h before induction of anesthesia,the group A was treated with gabapentin 300 mg,after the operation,the group B was treated with intravenous injection of ramosetron 0.3 mg,and the group C was treated with gabapentin 300 mg combined with intravenous injection of ramosetron 0.3 mg.The 3 groups were given conventional and narrative intervention model.R esults After 3 periods of 0-2 h,2-24 h and 24-4 8 h,the patients with no nausea in the group C were more than those in group A and B(P<0.0 5).The cases of complete remission in the group C were more than those in group A and group B(P<0.0 5).There was no significant difference in the adverse reactions(dizziness,headache,sleepiness)in the three groups within 48 h after operation(P>0.0 5),and the patients'total satisfaction with the intervention was higher than 90.00%.C onclusion For prevention of postoperative nausea and vomiting(PONV)of surgical laparoscopic general anesthesia,the effect of gabapentin and remorsetron is superior to single utilization of one of that,the patients were more satisfied with the conventional and narrative intervention model.

关 键 词：叙事干预 腹腔镜 全身麻醉 加巴喷丁 雷莫司琼 应用价值 

分 类 号：R969.4[医药卫生—药理学] R971.2[医药卫生—药学]