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yan suan zuo kao tong yu di zuo xin chao qian zhen tong yong yu fu ke fu qiang jing shou shu de bi jiao
Author(s): 
Pages: 828-829
Year: Issue:  5
Journal: The Journal of Practical Medicine

Keyword:  羟考酮超前镇痛妇科腹腔镜手术;
Abstract: 目的:探讨盐酸羟考酮、地佐辛用于妇科腹腔镜手术超前镇痛的效果及安全性。方法:择期妇科腹腔镜手术120例,随机分为3组,在停气腹时,A组不用镇痛药,B组静注地佐辛0.1 mg/kg,C组静注盐酸羟考酮0.1 mg/kg。于术后1 h(T1)、2 h(T2)、4 h(T3)对切口疼痛采用VAS、BCS评分。当VAS评分>7分时肌注哌替啶100 mg。结果:B组和C组术后T1、T2、T3各时点的VAS评分、使用哌替啶的例数、次数均低于A组(P <0.01),BCS评分均高于A组(P <0.05);C组术后T1和T2时点的VAS评分均低于B组(P <0.05), BCS评分均高于B组(P <0.05)。结论:盐酸羟考酮超前镇痛用于妇科腹腔镜手术,能有效缓解术后疼痛,减少术后镇痛药的使用,且效果优于地佐辛。
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