中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2014年
12期
16-17
,共2页
地佐辛%鼻内镜手术%术后%镇痛
地佐辛%鼻內鏡手術%術後%鎮痛
지좌신%비내경수술%술후%진통
Zosin%Endoscopic operation%Postoperative analgesia
目的：探讨地佐辛用于鼻内镜术（FESS）后的镇痛的疗效。方法将我院126例行鼻内镜手术的患者随机分成地佐辛组（63例）、对照组（63例），术后镇痛分别采用地佐辛、芬太尼。结果地佐辛组患者苏醒时间、术后2、24、48 h VAS评分、Ramsay均优于对照组，均有统计学意义（P＜0.05）。地佐辛组不良反应发生率4.76%明显低于对照组25.40%，有统计学意义（χ2=4.926，P＜0.05）。地佐辛组无患者自控镇痛（PCA）、追加镇痛药物，对照组分别为5次、6次，均有统计学意义（P＜0.05）。结论地佐辛用于FESS后镇痛效果显著，值得临床广泛应用。
目的：探討地佐辛用于鼻內鏡術（FESS）後的鎮痛的療效。方法將我院126例行鼻內鏡手術的患者隨機分成地佐辛組（63例）、對照組（63例），術後鎮痛分彆採用地佐辛、芬太尼。結果地佐辛組患者囌醒時間、術後2、24、48 h VAS評分、Ramsay均優于對照組，均有統計學意義（P＜0.05）。地佐辛組不良反應髮生率4.76%明顯低于對照組25.40%，有統計學意義（χ2=4.926，P＜0.05）。地佐辛組無患者自控鎮痛（PCA）、追加鎮痛藥物，對照組分彆為5次、6次，均有統計學意義（P＜0.05）。結論地佐辛用于FESS後鎮痛效果顯著，值得臨床廣汎應用。
목적：탐토지좌신용우비내경술（FESS）후적진통적료효。방법장아원126례행비내경수술적환자수궤분성지좌신조（63례）、대조조（63례），술후진통분별채용지좌신、분태니。결과지좌신조환자소성시간、술후2、24、48 h VAS평분、Ramsay균우우대조조，균유통계학의의（P＜0.05）。지좌신조불량반응발생솔4.76%명현저우대조조25.40%，유통계학의의（χ2=4.926，P＜0.05）。지좌신조무환자자공진통（PCA）、추가진통약물，대조조분별위5차、6차，균유통계학의의（P＜0.05）。결론지좌신용우FESS후진통효과현저，치득림상엄범응용。
Objective To investigate the effects of dezocine endoscopic sinus surgery(FESS) after the analgesia effect. Methods 126 cases of nasal endoscope operation were randomly divided into dezocine group(63 cases), control group (63 cases), postoperative analgesia with dezocine and fentanyl, respectively. Results Dezocine group patients recovery time, postoperative 2 h, 24 h, 48 h, VAS score, Ramsay were superior to the control group, there were statistically significant(P<0.05). Occurrence rate of adverse reactions of dezocine group 4.76%was lower than that of the control group was 25.40%, statistically significant(χ2=4.926, P<0.05). Dezocine group had no patient controlled analgesia(PCA), supplemental analgesic drugs, control group were respectively 5 times, 6 times, were statistically significant(P<0.05). Conclusion The analgesic effect of dezocine for FESS significantly, worthy of clinical application.
