吸氧联合5%Sb静脉用药对妇科腹腔镜手术CO2所致颈肩痛治疗研究.docVIP

吸氧联合5%Sb静脉用药对妇科腹腔镜手术CO2所致颈肩痛治疗研究 　　【摘要】目的探讨吸氧联合5%Sb静脉用药对妇科腹腔镜手术后CO?2所致颈肩痛的治疗效果。方法将150例腹腔镜手术患者随机分为实验组和观察组各75例。实验组采取吸氧联合5%Sb静脉用药法治疗,观察组采取单纯吸氧治疗。观察两组患者术后发生颈肩痛的持续时间、疼痛程度。结果实验组患者术后颈肩痛的持续时间、疼痛程度均小于观察组(P 　　【关键词】腹腔镜;术后颈肩痛;氧;5%小苏打;效果 　　?? 　　Study of inhaling oxygen associate with 5%Sb intravenous drip to the collare and shoulder pain after Gynecology Pefitoneoscopy operation caused by the CO?2 　　 　　LIN Bing,WANG Mei-li,HOU Xing-hua.Maternal and Child Health Hospital,Weifang City,Shandong Province,Weifang 261041,China 　　? 　　【Abstract】ObjectiveTo study the effect of inhaling oxygen associate with 5%Sb intravenous drip on the collare and shoulder pain which had occurred by CO?2 pneumoperitoneum for patients with gynecological pefitoneoscopy.MethodsDivided 150 patients who had accepted gynecological pefitoneoscopy into the observation group(75 cases)and the control group(75 cases)randomly.The inhaling oxygen were used in the control group,while the inhaling oxygen associate with 5%Sb intravenous drip were used in the observation group.Observe the last time and the degree of the collare and shoulder pain after operation about the tow groups.ResultsBoth the pain’s last time and the degree of the observation group are less than the control group.ConclusionInhaling oxygen associate with 5%Sb intravenous drip for patients who have accepted the gynecological pefitoneoscopy can efective prevent the collare and shoulder pain.? 　　【Key words】 　　Pefitoneoscopy;Collare and shoulder pain after operation;Oxygen;5%Sb;Effect 　　? 　　腹腔镜手术具有手术效果好、创伤小、恢复快等优点,在各级医院迅速普及,随着妇科腹腔镜手术的广泛开展,术后颈肩痛这一常见并发症己引起普遍关注。因此,对术后患者颈肩痛的治疗成为对腹腔镜术后患者治疗的重要内容之一。日前普遍认为,气腹后残余的CO?2对膈神经的直接刺激是造成患者腹腔镜术后颈肩痛的主要原因??[1,2]?。腹腔镜手术中高压、高浓度CO?2直接刺激隔神经,而支配隔肌的神经与肩部皮肤的神经节同位于颈3,故CO?2气腹引起???痛的特点为颈肩痛??[3]?。为寻求一种更快速解除患者颈肩痛症状的方法,本院妇科采用吸氧联合5%Sb静脉用药的方法,取得了满意的效果,现报告如下。? 　　 　　1资料与方法? 　　 　　1.1一般资料2006~2008年在本院因妇科疾病择期行腹腔镜手术的患者150例,年龄21~39(平均29岁)岁。其中腹腔镜卵巢良性肿瘤剥除术73例,异位妊娠手术62例,子宫内膜异位症手术15例。术前患者均无神经、肌肉或骨骼疼痛的病史。实验组与观察组各75例,两组年龄、体重、手术时间、CO?2用