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目的探讨麻醉前用药对静脉麻醉下流产术后疼痛的影响。方法将实施异丙酚静脉麻醉下人工流产者随机分为A组 (10 2例 )、B组 (97例 )和C组 (10 0例 )。A组术前口服甲羟孕酮、氨糖美锌和沙丁胺醇组成的安宫合剂 ;B组术前静脉注射可塞风 ;C组未做特殊处理。观察记录术后 0 .5、8.0、16 .0h患者下腹疼痛程度 ,记录手术前、中、后血压、心率变化。结果A组 0 .5h后的下腹疼痛不见缓解 ,而 8.0、16 .0h缓解 ;B组 0 .5、8.0、16 .0h后疼痛较A、C组显著减轻 (均P <0 .0 5 )。结论人工流产麻醉前静脉注射可塞风是控制术后下腹疼痛简便、安全、有效的方法 ,切实做好术前心理护理、术中生命体征监测以及术后严密观察是保证手术成功的关键。
Objective To investigate the effect of pre-anesthesia on post-abortion pain after intravenous anesthesia. Methods Artificial abortion under propofol anesthesia was randomly divided into A group (102 cases), B group (97 cases) and C group (100 cases). A group of preoperative oral medroxyprogesterone, ammonia glycosaminoglycans and salbutamol composed of An Gong mixture; B group preoperative intravenous injection of plug wind; C group did not do special treatment. Observe and record the degree of abdominal pain in patients with 0. 5,8. 0,16. 0h after surgery, and record the changes of blood pressure and heart rate before, during and after surgery. Results The pain of lower abdomen in group A was not relieved at the time of 0.5h, but was relieved at the time of 8.0 and 16.0h. The pain in group B at 0.5, 8.5, 16.0h was significantly lower than that of group A and C (all P <0.05) . Conclusions Intravenous injection of plugable wind before induced abortion is a simple, safe and effective method to control postoperative abdominal pain. Preoperative psychological nursing, preoperative vital signs monitoring and close observation are the keys to successful operation.