行腹腔镜手术患者术后不同时点撤销静脉镇痛泵的效果分析  

Analysis of the Effects of Discontinuing Intravenous Analgesic Pump at Different Time Points after Laparoscopic Surgery in Patients

作　　者：张伟周 ZHANG Weizhou(Dongyuan County People's Hospital,Guangdong Dongyuan 517583)

机构地区：[1]东源县人民医院,广东东源517583

出　　处：《深圳中西医结合杂志》2024年第5期78-81,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

基　　金：河源市社会发展科技计划项目(210816161600833)。

摘　　要：目的:评估行腹腔镜手术患者术后不同时点撤销静脉镇痛泵的效果分析。方法:选取东源县人民医院2022年5月至7月收治的60例行腹腔镜手术患者,随机分为4组,分别为未使用镇痛泵组(A组)、术后24 h停用镇痛泵组(B组)、术后48 h停用镇痛泵组(C组)和术后72 h停用镇痛泵组(D组)。比较各组患者视觉模拟评分法(VAS)评分、术后追加静脉注射镇痛药患者例数、住院时间、停止吸氧时间、肠鸣音和肛门排气恢复时间、不良反应发生情况。结果:A组VAS评分高于其他三组,C组VAS评分低于其他三组,差异具有统计学意义(P <0.05)。A组住院时间长于其他三组,C组住院时间短于其他三组,差异具有统计学意义(P <0.05)。A组术后追加静脉注射镇痛药患者占比高于其他三组,差异具有统计学意义(P <0.05),B组、C组、D组三组组间比较,差异无统计学意义(P> 0.05)。四组患者不良反应发生率比较,差异无统计学意义(P> 0.05)。结论:术后48 h撤销静脉镇痛泵对患者疼痛情况改善良好,可缩短患者住院时间,而延长镇痛泵使用时间无法带来显著的益处。Objective To evaluate the effect analysis of discontinuing intravenous analgesic pump at different time points after laparoscopic surgery in patients.Methods Sixty patients who underwent laparoscopic surgery at Dongyuan County People's Hospital from May to July 2022 were randomly divided into four groups:the non-use of analgesic pump group(Group A),the discontinuation of analgesic pump 24 hours after surgery group(Group B),the discontinuation of analgesic pump 48 hours after surgery group(Group C),and the discontinuation of analgesic pump 72 hours after surgery group(Group D).Visual analogue scales(VAS) scores,additional intravenous analgesic injections after surgery,hospital stay,cessation of oxygen therapy,bowel sounds and anal exhaust recovery time,and occurrence of adverse reactions were compared among the groups.Results The VAS scores of Group A were higher than the other three groups,while the VAS scores of Group C were lower than the other three groups,with statistical significance(P < 0.05).The hospital stay of Group A was longer than the other three groups,while the hospital stay of Group C was shorter than the other three groups,with statistical significance(P < 0.05).The proportion of patients requiring additional intravenous analgesic injections after surgery in Group A was higher than the other three groups,with statistical significance(P < 0.05),while there was no significant difference among Groups B,C,and D(P > 0.05).There was no significant difference in the occurrence of adverse reactions among the four groups(P > 0.05).Conclusion Discontinuing the intravenous analgesic pump 48 hours after surgery has a good effect on improving pain in patients,reducing hospital stay,while prolonging the use of the analgesic pump does not bring significant benefits.

关 键 词：腹腔镜手术 静脉镇痛泵 疼痛管理 

分 类 号：R614[医药卫生—麻醉学]