摘要
目的 观察应用曲马多缓释片口服给药控制玻璃体视网膜手术疼痛的效果 .方法 将 84例病例随机分 2组 ,实验组术前 1h口服曲马多 10 0mg ,对照组术前 30min肌注鲁米那 0 .1g ,对术中及术后的疼痛反应进行分级评定 .结果 术中及术后 2 4h疼痛分值评定 ,实验组比对照组程度轻 (P <0 .0 5 ) ,实验组比对照组术中追加麻醉药物及术后追加镇痛药物次数少 (P <0 .0 5 ) ,两组恶心呕吐胃肠道不良反应无显著差异 (P >0 .0 5 ) .结论 曲马多可有效增强术中止痛效果并明显减轻术后的疼痛反应 ,无明显恶心呕吐等不良反应 ,可作为玻璃体视网膜手术的镇痛药物 。
Objective: to evaluate the analgesic effect of tramadol(controlled releasing) in the operation of vitreum or retina. Method: 84 cases were divided into two groups at random. Goup Ⅰ:100 mg tramadol was given orally one hour preoperatively, group Ⅱ as controlled group: luminal 0.1 g was given intramuscular injection 30 min. Preoperatively. The reaction of pain during and 24 h postoperation was evaluated in grades. Result:The grade of pain of group Ⅰ is lower than that of group Ⅱ,( P < 0.05 ). The anasthetics added during operation and the analgesics added postoperatively in the group Ⅰ is lower than that of group Ⅱ. There was no significant difference in the side effects such as nausea and vomiting,( P > 0.05 ) Conclusion:Tramadol is effective during the operation of vitreum or retina as an analgesic and may decrease pain reaction postoperatively and there is no side effects such as nausea and vomiting. It may be used as an analgesic in the operation of vitreum or retina. It is helpful in the nursing care of ophthalmic patients.
出处
《江南大学学报（自然科学版）》
CAS
2002年第1期104-105,共2页
Joural of Jiangnan University (Natural Science Edition)
关键词
曲马多
玻璃体视网膜手术
疼痛护理
Tramadol
vitreum and retina operation
pain nursing care
