CAJ | 학술논문

目的：探讨参附注射液(SFI)对老年患者术后镇痛的影响。方法将80例择期行腹部手术患者随机分成两组,Ⅰ组(对照组,不给SFI),Ⅱ组(实验组, SFI间断静脉注射),每组40例。实验组手术结束前静脉滴注SFI (1 mg/kg),24 h后再静脉滴注SFI (1 mg/kg),对照组静脉滴注相同剂量的生理盐水。两组患者手术结束后行硬膜外患者自控镇痛(PCEA)。观察患者镇痛效果、生命体征和不良反应情况。结果实验组在镇痛效果、舒适程度、术后患者肛门恢复排气时间优于对照组(P<0.05),且不良反应少。结论参附注射液有增强阿片类药物术后硬膜外镇痛的作用,且能减少术后镇痛不良反应,促进术后患者肠功能的恢复。
목적：탐토삼부주사액(SFI)대노년환자술후진통적영향。방법장80례택기행복부수술환자수궤분성량조,Ⅰ조(대조조,불급SFI),Ⅱ조(실험조, SFI간단정맥주사),매조40례。실험조수술결속전정맥적주SFI (1 mg/kg),24 h후재정맥적주SFI (1 mg/kg),대조조정맥적주상동제량적생리염수。량조환자수술결속후행경막외환자자공진통(PCEA)。관찰환자진통효과、생명체정화불량반응정황。결과실험조재진통효과、서괄정도、술후환자항문회복배기시간우우대조조(P<0.05),차불량반응소。결론삼부주사액유증강아편류약물술후경막외진통적작용,차능감소술후진통불량반응,촉진술후환자장공능적회복。
Objective To explore the effects of Shenfu Injection(SFI) on the efficacy of patient controlled epidural analgesia(PCEA) after abdominal surgery in elderly patients. Methods 80 elderly patients undergoing elective abdominal operation were randomly divided into two groups ,Ⅰ(control group, without SFI) and Ⅱ (experimental group with SFI intermittent intravenous injection), each group of 40 patients .Patients ofⅡgroup were respectively assigned to receive to 1 ml/kg SFI before the surgery ended and after 24 hours of the surgery, whereas patients ofⅠgroup were given the equal volume normal saline. ALL patients of both groups were taken by the same analgesia methods of PCEA. To observe the analgesic effect, patient vital signs and adverse reactions. Results In the experimental group, the analgesic effect of comfort, satisfaction, postoperative anal exhaust time, better than the control group(P<0.05),and less adverse reaction. Conclusion Shenfu Injection(SFI) has the effect of epidural analgesia enhanced opioid analgesia after operation, and can decrease the adverse reaction and promote the recovery of intestinal function in patients after operation.