CAJ | 학술논문

目的:探讨舒芬太尼用于剖宫产术后静脉自控镇痛的有效性及安全性.方法:60例行剖宫产手术患者,ASA Ⅰ～Ⅱ级,随机分为两组:S组(使用舒芬太尼行术后静脉自控镇痛)T组(使用曲马多行术后静脉自控镇痛),观察两组患者剖宫产术后4、8、12、24、48 h VAS评分、血压、心率及不良反应.结果:S组术后镇痛效果优于T组,两组术后镇痛期间血压、心率及不良反应无显著性差异.结论:舒芬太尼用于剖宫产术后静脉自控镇痛,镇痛效果确切,不良反应少,有利于提高产妇术后生活质量,是一种安全有效的镇痛方法.
목적:탐토서분태니용우부궁산술후정맥자공진통적유효성급안전성.방법:60례행부궁산수술환자,ASA Ⅰ～Ⅱ급,수궤분위량조:S조(사용서분태니행술후정맥자공진통)T조(사용곡마다행술후정맥자공진통),관찰량조환자부궁산술후4、8、12、24、48 h VAS평분、혈압、심솔급불량반응.결과:S조술후진통효과우우T조,량조술후진통기간혈압、심솔급불량반응무현저성차이.결론:서분태니용우부궁산술후정맥자공진통,진통효과학절,불량반응소,유리우제고산부술후생활질량,시일충안전유효적진통방법.
Objective:To evaluate the efficacy and safety of patient-controlled analgesia with intravenous sufentanil after cesarean section.Methods:Sixty ASA Ⅰ or Ⅱ patients who will receive cesarean section were randomized into 2 groups:receive patient-controlled analgesia with intravenous sufentanil (group S) or tramadol (group T) after cesarean section.VAS,blood pressure,heart rate and side effects were recorded on 4,8,12,24 and 48 minutes after the operation.Results:VAS scores were significantly lower in group S than in group T(P <0.05).There was no significant difference in BP,HR,and side effects between the two groups(P>0.05).Conclusion:Patient-controlled analgesia with intravenous sufentanil after cesarean section provides good and safe postoperative analgesia.