CAJ | 학술논문

目的：观察地佐辛联合舒芬太尼用于术后自控静脉镇痛的镇痛效果和不良反应。方法我院2013年4月~6月行择期腹部手术后需要术后镇痛的患者260例,随机分为对照组(A)和观察组(B),每组130例,A组采用舒芬太尼+托烷司琼用于术后自控静脉镇痛,B组在A组的基础上加用地佐辛,比较两组患者的镇痛前后1h的平均动脉压(MAP)、心率(HR)及血氧饱和度(SpO2)、镇痛效果。镇静程度、舒适程度及不良情况。结果两组患者在镇痛过程中 MAP、HR、SpO2无显著性变化(P>0.05)。但B组的镇痛效果,患者的镇静程度、舒适程度显著优于A组(P<0.05)。且B组的不良反应头晕,嗜睡等显著少于对照组(P<0.05)。结论地佐辛联合舒芬太尼用于术后自控静脉镇痛效果较好,且不良反应少,是一种理想的术后静脉镇痛药物联合使用。
목적：관찰지좌신연합서분태니용우술후자공정맥진통적진통효과화불량반응。방법아원2013년4월~6월행택기복부수술후수요술후진통적환자260례,수궤분위대조조(A)화관찰조(B),매조130례,A조채용서분태니+탁완사경용우술후자공정맥진통,B조재A조적기출상가용지좌신,비교량조환자적진통전후1h적평균동맥압(MAP)、심솔(HR)급혈양포화도(SpO2)、진통효과。진정정도、서괄정도급불량정황。결과량조환자재진통과정중 MAP、HR、SpO2무현저성변화(P>0.05)。단B조적진통효과,환자적진정정도、서괄정도현저우우A조(P<0.05)。차B조적불량반응두훈,기수등현저소우대조조(P<0.05)。결론지좌신연합서분태니용우술후자공정맥진통효과교호,차불량반응소,시일충이상적술후정맥진통약물연합사용。
Objective to observe the joint ShuFen with sheen, used for postoperative analgesia ef ect of self-control vein analgesia and adverse reactions. Methods between April 2013 and June 2013 marked need to postoperative analgesia after abdominal surgery in patients of 260 cases were randomly divided into control group and observation group (A) (B), 130 cases in each group, using sufentanil group A+tropane SiQiong for postoperative intravenous analgesia, on the basis of group A and group B land with sheen, compare the ef ect of two groups of patients before and after 1 h of mean arterial pressure (MAP), heart rate (HR) and blood oxygen saturation (SpO2), the ef ects of analgesia, sedation, comfortable degree and adverse situation. Results two groups of patients in the process of analgesia MAP, HR, SpO2, there was no significant change (P>0.05). But the analgesic ef ect of group B, the calm, comfort degree of patients was superior to that of group A (P<0.05). Group B and the adverse reactions of dizziness, sleepiness and significantly less than the control group (P< 0.05). Conclusions to joint ShuFen with sheen, used for postoperative ef ect of self-control vein analgesia is bet er, and less adverse reaction, is an ideal intravenous postoperative analgesia drug combination.