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盐酸纳布啡及酮咯酸氨丁三醇对颅脑外伤出血患者镇痛效果及血流动力学的影响

芦孙俊

医学信息2024,Vol.37Issue(14):115-118,4.
医学信息2024,Vol.37Issue(14):115-118,4.DOI:10.3969/j.issn.1006-1959.2024.14.022

盐酸纳布啡及酮咯酸氨丁三醇对颅脑外伤出血患者镇痛效果及血流动力学的影响

Effect of Nalbuphine Hydrochloride and Ketorolac Tromethamine on Analgesic Effect and Hemodynamics in Patients with Craniocerebral Trauma Hemorrhage

芦孙俊1

作者信息

  • 1. 上饶市广信区中医院脑外科,江西 上饶 334109
  • 折叠

摘要

Abstract

Objective To study the effect of nalbuphine hydrochloride and ketorolac tromethamine on analgesia and hemodynamics in patients with craniocerebral trauma hemorrhage.Methods A total of 60 patients with craniocerebral trauma hemorrhage admitted to Guangxin District Hospital of Traditional Chinese Medicine of Shangrao City from June 2020 to June 2023 were selected as the research objects.According to the random number table method,they were divided into control group(30 patients)and observation group(30 patients).The control group was given ketorolac tromethamine for analgesia,while the observation group was given nalbuphine hydrochloride combined with ketorolac tromethamine for analgesia.The onset time of analgesia,Ricker Sedation-agitation Scale(SAS)score,analgesic effect[Visual Analogue Scale(VAS)score],hemodynamics[heart rate(HR),mean arterial pressure(MAP),respiratory rate(RR)]and adverse reactions were compared between the two groups.Results The onset time of analgesia in the observation group was shorter than that in the control group,and the SAS score was lower than that in the control group(P<0.05).The VAS scores of the observation group at 30 min and 6 h after treatment were lower than those of the control group(P<0.05).The HR,MAP and RR indexes of the two groups at 30 min after medication were lower than those before medication,and the HR,MAP and RR indexes of the observation group were lower than those of the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Nalbuphine hydrochloride combined with ketorolac tromethamine has a good analgesic effect in patients with craniocerebral trauma hemorrhage.It has a fast onset and good effect,can stabilize the hemodynamic level of patients,with good drug safety.

关键词

颅脑外伤出血/盐酸纳布啡/酮咯酸氨丁三醇/镇痛效果/血流动力学

Key words

Craniocerebral trauma hemorrhage/Nalbuphine hydrochloride/Ketorolac tromethamine/Analgesic effect/Hemodynamics

分类

医药卫生

引用本文复制引用

芦孙俊..盐酸纳布啡及酮咯酸氨丁三醇对颅脑外伤出血患者镇痛效果及血流动力学的影响[J].医学信息,2024,37(14):115-118,4.

医学信息

1006-1959

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