CAJ | 학술논문

目的：比较地佐辛与舒芬太尼用于直肠癌根治术后的镇痛效果。方法：将60例直肠癌根治手术患者随机分为两组，D 组予地佐辛0.7 mg/ kg 加生理盐水至60 mL，S 组予舒芬太尼1.5μg/ kg 加生理盐水至60 mL，行静脉镇痛（PCA）治疗。采用疼痛视觉模拟评分（VAS）和 Ramsay 镇静评分评估患者疼痛程度和镇静情况，同时记录不良反应的发生情况。结果：两组镇痛评分比较，差异无统计学意义（P ﹥0.05），D 组镇静评分与不良反应发生率低于 S 组，差异有统计学意义（P ﹤0.05）。结论：地佐辛可以安全有效地用于直肠癌术后镇痛。
목적：비교지좌신여서분태니용우직장암근치술후적진통효과。방법：장60례직장암근치수술환자수궤분위량조，D 조여지좌신0.7 mg/ kg 가생리염수지60 mL，S 조여서분태니1.5μg/ kg 가생리염수지60 mL，행정맥진통（PCA）치료。채용동통시각모의평분（VAS）화 Ramsay 진정평분평고환자동통정도화진정정황，동시기록불량반응적발생정황。결과：량조진통평분비교，차이무통계학의의（P ﹥0.05），D 조진정평분여불량반응발생솔저우 S 조，차이유통계학의의（P ﹤0.05）。결론：지좌신가이안전유효지용우직장암술후진통。
Objective:To compare the efficacy of dezocine and sufentanil in patient intravenous analgesia after radical re-section of rectal cancer. Methods:Sixty patients arranged for radical resection of rectal cancer were randomly divided into dezo-cine group(group D)and sufentanil group(group S). After operation two groups were respectively given by intravenous injec-tion(PCA)were decozine 0. 7 mg/ kg(group D)and sufentanil 1. 5 μg/ kg(group S)which were diluted to 60 mL by Visual Analogue Scale(VAS)and Ramsay scores after operation and adverse effects were recorded and compared. Results:There was no significant difference in the VAS scores(P ﹥ 0. 05). The Ramsay scores and adverse effects in group D were significantly lower than those in group S(P ﹤ 0. 05). Conclusion:The postoperative analgesia with dezocine can serve as a safe and effective method of analgesia in patient of radical rectal cancer.