CAJ | 학술논문

目的：研究小剂量芬太尼符合布比卡因在腹部手术麻醉中预防或降低寒战及牵拉痛的效果。方法：以100例择期行下腹部手术患者为研究对象，由患者自主选择麻醉方案，并将其划分为观察组和对照组。观察组54例，以小剂量芬太尼复合布比卡因行蛛网膜下腔麻醉；对照组46例，单行布比卡因蛛网膜下腔麻醉。对比两组麻醉后寒战、牵拉痛及其它不良反应的发生率，并以BCS量表评价患者主观舒适度。结果：观察组术中仅出现8例1级寒战；对照组出现1级寒战20例、2级寒战7例。观察组术中仅出现11例轻度牵拉痛；对照组轻度、中度分别有28例、11例。观察组术中不良反应患者共5例；对照组23例。组间寒战、牵拉痛、不良反应出现率差异均具备统计学意义（P＜0.05）。注药后各时间点观察组BCS评分均显著性高于对照组（P＜0.05）。结论：以小剂量芬太尼复合布比卡因可有效作用于腹部手术麻醉，在减少寒战、牵拉痛及其它不良反应出现率，提升患者舒适度方面具有显著效果。
목적：연구소제량분태니부합포비잡인재복부수술마취중예방혹강저한전급견랍통적효과。방법：이100례택기행하복부수술환자위연구대상，유환자자주선택마취방안，병장기화분위관찰조화대조조。관찰조54례，이소제량분태니복합포비잡인행주망막하강마취；대조조46례，단행포비잡인주망막하강마취。대비량조마취후한전、견랍통급기타불량반응적발생솔，병이BCS량표평개환자주관서괄도。결과：관찰조술중부출현8례1급한전；대조조출현1급한전20례、2급한전7례。관찰조술중부출현11례경도견랍통；대조조경도、중도분별유28례、11례。관찰조술중불량반응환자공5례；대조조23례。조간한전、견랍통、불량반응출현솔차이균구비통계학의의（P＜0.05）。주약후각시간점관찰조BCS평분균현저성고우대조조（P＜0.05）。결론：이소제량분태니복합포비잡인가유효작용우복부수술마취，재감소한전、견랍통급기타불량반응출현솔，제승환자서괄도방면구유현저효과。
[ABSTRACT]Objective:To study the small dose of fentanyl and bupivacaine in abdominal surgery anesthesia conform to prevent or reduce the chills and dragging pain effect. Methods: In 100 patients undergoing abdominal surgery patients as the research object, by the patient independent choice of anesthesia scheme, which is divided into observation group and control group. 54 cases in observation group, small dose of fentanyl combined with bupivacaine subarachnoid anesthesia;control group 46 cases, single bupivacaine subarachnoid anesthesia. Comparing the two groups after anesthesia shivering, dragging pain and other adverse reaction rate, and assessed by BCS scale in patients with subjective comfort. Results:The patients in the observation group only showed 8 cases in Grade 1 shivering;control group had 20 cases, 1 grade 2 class 7 cases of chill chill. The patients in the observation group occurred only 11 cases of mild dragging pain;control group, mild, moderate in 28 cases and 11 cases respectively. The patients in the observation group the adverse reaction of patients with a total of 5 cases;23 cases of control group. Between group chills, dragging pain, adverse reaction rate differences were statistically signiifcant (P<0.05). After the injection of each time point were observed in group BCS scores were signiifcantly higher than those in the control group (P<0.05). Conclusion:A small dose of fentanyl combined with bupivacaine can be effectively applied to the abdomen surgical anesthesia, in reducing the chills, dragging pain and other adverse reactions rate has a signiifcant effect for improving the comfort degree of patients.