中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2010年
20期
19-20
,共2页
吗啡%氯诺昔康%静脉镇痛%开胸手术
嗎啡%氯諾昔康%靜脈鎮痛%開胸手術
마배%록낙석강%정맥진통%개흉수술
Morphine%Lornoxicam%Intravenous analgesia%Thoracotomy
目的 观察开胸手术后吗啡复合氯诺昔康静脉镇痛与单独应用吗啡效果比较.方法 将ASAⅠ~Ⅱ级60例择期开胸手术患者随机分为吗啡(A)组(n=30)和吗啡+氯诺昔康(B)组(n=30),A组采用吗啡60 mg+恩丹西酮4 mg,B组采用吗啡40 mg+氯诺昔康32 mg+恩丹西酮4 mg,均以生理盐水稀释至100 ml,给予吗啡2.5 mg+恩丹西酮4 mg作为负荷量后连接PCIA泵进行自控镇痛.术后第1、2、3天静息及咳嗽时行VAS评分,监测用药量及不良反应发生情况.结果 两组VAS评分比较差异无统计学意义,用药量、不良反应A组明显高于B组.结论 吗啡与氯诺昔康联合应用于开胸手术后镇痛与吗啡单独应用效果相当,但吗啡用量及不良反应发生率明显降低,是一种更安全、有效的镇痛方法.
目的 觀察開胸手術後嗎啡複閤氯諾昔康靜脈鎮痛與單獨應用嗎啡效果比較.方法 將ASAⅠ~Ⅱ級60例擇期開胸手術患者隨機分為嗎啡(A)組(n=30)和嗎啡+氯諾昔康(B)組(n=30),A組採用嗎啡60 mg+恩丹西酮4 mg,B組採用嗎啡40 mg+氯諾昔康32 mg+恩丹西酮4 mg,均以生理鹽水稀釋至100 ml,給予嗎啡2.5 mg+恩丹西酮4 mg作為負荷量後連接PCIA泵進行自控鎮痛.術後第1、2、3天靜息及咳嗽時行VAS評分,鑑測用藥量及不良反應髮生情況.結果 兩組VAS評分比較差異無統計學意義,用藥量、不良反應A組明顯高于B組.結論 嗎啡與氯諾昔康聯閤應用于開胸手術後鎮痛與嗎啡單獨應用效果相噹,但嗎啡用量及不良反應髮生率明顯降低,是一種更安全、有效的鎮痛方法.
목적 관찰개흉수술후마배복합록낙석강정맥진통여단독응용마배효과비교.방법 장ASAⅠ~Ⅱ급60례택기개흉수술환자수궤분위마배(A)조(n=30)화마배+록낙석강(B)조(n=30),A조채용마배60 mg+은단서동4 mg,B조채용마배40 mg+록낙석강32 mg+은단서동4 mg,균이생리염수희석지100 ml,급여마배2.5 mg+은단서동4 mg작위부하량후련접PCIA빙진행자공진통.술후제1、2、3천정식급해수시행VAS평분,감측용약량급불량반응발생정황.결과 량조VAS평분비교차이무통계학의의,용약량、불량반응A조명현고우B조.결론 마배여록낙석강연합응용우개흉수술후진통여마배단독응용효과상당,단마배용량급불량반응발생솔명현강저,시일충경안전、유효적진통방법.
Objective To compare the effect of morphine combined with lornoxicam and morphine alone for postoperative thoracotomy patients. Methods All 60 postoperative thoracotomy patients with ASAⅠ-Ⅱ stage were randomly divided into group A(30 cases)and group B(30 cases).All patients were given morphine and ondansetron as loading dose and then connected PCIA pump for controlled intravenous analgesia,but lornoxicam were added to the patients in group B. VAS score,drug consumption and adverse reactions were marked after operation. Results VAS score had no significant difference between the two groups,but the drug consumption and adverse reactions of group A were significant higher than that in group B. Conclusions For postoperative thoracotomy patients,taking morphine combined with lornoxicam can relieve pain effectively and meanwhile cut down drug consumption and adverse reactions.