Abstract：
UNASSIGNED: To analyze the application of Dezocine combined with psychological care in the postoperative pain management.
UNASSIGNED: This is a retrospective study. A total of 186 HFS patients who underwent Microvascular Decompression (MVD) at First People\'s Hospital of Zunyi between January 2020 and January 2022 were selected as the study subjects. Patients were divided into two groups based on different treatment interventions. The control group (n = 93) received routine perioperative care without preemptive analgesia, while the observation group (n = 93) received preemptive analgesia and combined psychological care on the basis of the control group\'s intervention.
UNASSIGNED: At 30 min post-laryngeal mask removal (T3), no significant difference in Ramsay Sedation Scale scores existed between control and observation groups (p > 0.05). The observation group showed significantly lower RSS scores at immediate mask removal (T2) and VAS scores at T3 compared to controls (p < 0.05). Following intervention, the observation group had notably lower SAS and SDS scores than controls (p < 0.05). Baseline (T0) and 5 min pre-removal (T1) exhibited no significant differences in mean arterial pressure (MAP) and heart rate (HR) values between groups (p > 0.05). However, at T2 and T3, the observation group displayed significantly lower MAP and HR values than controls (p < 0.05). No significant differences in pulse oxygen saturation (SpO2) values existed between groups at any time point (p > 0.05).
UNASSIGNED: Compared to standard perioperative care alone, Dezocine combined with preemptive analgesia and psychological care effectively reduces postoperative pain during the awakening period, lowers the risk of immediate extubation-related agitation, and maintains stable hemodynamics in the postoperative period.
UNASSIGNED: This is a retrospective study. A total of 186 HFS patients who underwent Microvascular Decompression (MVD) at First People\'s Hospital of Zunyi between January 2020 and January 2022 were selected as the study subjects. Patients were divided into two groups based on different treatment interventions. The control group (n = 93) received routine perioperative care without preemptive analgesia, while the observation group (n = 93) received preemptive analgesia and combined psychological care on the basis of the control group\'s intervention.
UNASSIGNED: At 30 min post-laryngeal mask removal (T3), no significant difference in Ramsay Sedation Scale scores existed between control and observation groups (p > 0.05). The observation group showed significantly lower RSS scores at immediate mask removal (T2) and VAS scores at T3 compared to controls (p < 0.05). Following intervention, the observation group had notably lower SAS and SDS scores than controls (p < 0.05). Baseline (T0) and 5 min pre-removal (T1) exhibited no significant differences in mean arterial pressure (MAP) and heart rate (HR) values between groups (p > 0.05). However, at T2 and T3, the observation group displayed significantly lower MAP and HR values than controls (p < 0.05). No significant differences in pulse oxygen saturation (SpO2) values existed between groups at any time point (p > 0.05).
UNASSIGNED: Compared to standard perioperative care alone, Dezocine combined with preemptive analgesia and psychological care effectively reduces postoperative pain during the awakening period, lowers the risk of immediate extubation-related agitation, and maintains stable hemodynamics in the postoperative period.
摘要：
目的：分析地佐辛联合心理护理在术后疼痛管理中的应用。
方法：这是一项回顾性研究。选取2020年1月至2022年1月在遵义市第一人民医院行微血管减压术(MVD)的186例HFS患者作为研究对象。根据不同的治疗干预措施将患者分为两组。对照组(93例)给予常规围手术期护理,无超前镇痛,观察组93例,在对照组的基础上给予超前镇痛和心理护理。
结果：在喉罩摘除后30分钟（T3），对照组与观察组Ramsay镇静量表评分比较,差异无统计学意义(P>0.05)。观察组即刻摘除面罩(T2)时的RSS评分和T3时的VAS评分明显低于对照组(P<0.05)。干预之后,观察组SAS、SDS评分明显低于对照组(P<0.05)。基线（T0）和拔除前5分钟（T1）两组间平均动脉压（MAP）和心率（HR）值差异无统计学意义（P>0.05）。然而,在T2和T3时，观察组的MAP和HR值明显低于对照组（P<0.05）。两组各时间点脉搏血氧饱和度(SpO2)值差异均无统计学意义(P>0.05)。
结论：与标准围手术期护理相比，地佐辛联合超前镇痛及心理护理可有效减轻术后苏醒期疼痛,降低立即拔管相关躁动的风险，术后维持血流动力学稳定。
方法：这是一项回顾性研究。选取2020年1月至2022年1月在遵义市第一人民医院行微血管减压术(MVD)的186例HFS患者作为研究对象。根据不同的治疗干预措施将患者分为两组。对照组(93例)给予常规围手术期护理,无超前镇痛,观察组93例,在对照组的基础上给予超前镇痛和心理护理。
结果：在喉罩摘除后30分钟（T3），对照组与观察组Ramsay镇静量表评分比较,差异无统计学意义(P>0.05)。观察组即刻摘除面罩(T2)时的RSS评分和T3时的VAS评分明显低于对照组(P<0.05)。干预之后,观察组SAS、SDS评分明显低于对照组(P<0.05)。基线（T0）和拔除前5分钟（T1）两组间平均动脉压（MAP）和心率（HR）值差异无统计学意义（P>0.05）。然而,在T2和T3时，观察组的MAP和HR值明显低于对照组（P<0.05）。两组各时间点脉搏血氧饱和度(SpO2)值差异均无统计学意义(P>0.05)。
结论：与标准围手术期护理相比，地佐辛联合超前镇痛及心理护理可有效减轻术后苏醒期疼痛,降低立即拔管相关躁动的风险，术后维持血流动力学稳定。
