CAJ | 학술논문

目的探讨地佐辛用于妇科腹腔镜手术超前镇痛的效果及安全性。方法回顾性分析我院2010年1月～2012年10月收治的择期宫外孕及卵巢囊肿患者80例，随机分为对照组和观察组，观察两组术后拔管时间、VAS评分、Ramsay评分及其不良反应。结果拔管时间两组拔管时间比较，无统计学差异（P＞0.05）。术后各时点的VAS评分，观察组与对照组比较，有显著性差异（P<0.05）。术后10min、30minRamsay评分，观察组与对照组比较，有显著性差异（P<0.05），术后、2h、4h、8hRamsay评分两组比较，差异无显著性（P>0.05）。结论地佐辛镇痛效果确切，采用超前镇痛技术，镇痛效果更加明显，不影响麻醉恢复，无明显副作用。
목적탐토지좌신용우부과복강경수술초전진통적효과급안전성。방법회고성분석아원2010년1월～2012년10월수치적택기궁외잉급란소낭종환자80례，수궤분위대조조화관찰조，관찰량조술후발관시간、VAS평분、Ramsay평분급기불량반응。결과발관시간량조발관시간비교，무통계학차이（P＞0.05）。술후각시점적VAS평분，관찰조여대조조비교，유현저성차이（P<0.05）。술후10min、30minRamsay평분，관찰조여대조조비교，유현저성차이（P<0.05），술후、2h、4h、8hRamsay평분량조비교，차이무현저성（P>0.05）。결론지좌신진통효과학절，채용초전진통기술，진통효과경가명현，불영향마취회복，무명현부작용。
Objective Study of dezocine in gynecological laparoscopic operation in advance the effect and safety of analgesia.Methods A retrospective analysis of our hospital from 2010 January to 2012 October were scheduled for ectopic pregnancy and ovarian cyst in 80 cases, were randomly divided into control group and observation group,time,VAS score,Ramsay score and adverse reactions of two groups were observed after extubation.Results The two groups of extubation time comparison,no significant difference (P>0.05). The VAS score,observation group compared with the control group,there was significant difference (P<0.05).After 10min,30minRamsay score,observation group compared with the control group, there was significant difference (P<0.05),postoperative,2h,4h,8hRamsay score between the two groups,no significant difference(P>0.05).Conclusion Using dezocine analgesia effect, the preemptive analgesia technique,the analgesic effect is more obvious, does not affect the anesthesia recovery, without obvious side effect.