CAJ | 학술논문

目的比较芬太尼与曲马朵用于腹腔镜胆囊切除术后镇痛的临床疗效.方法 80例腹腔镜胆囊切除术患者按照数字表法随机分为芬太尼组(F组)及曲马朵组(Q组)各40例,观察比较两组术后0.5、1、2、4、8、12 h的VAS评分及不良反应发生率、患者满意度.结果 F组在给药后0.5、1、2h时VAS 0～3分患者所占比例明显高于Q组(x2 =5.56、5.50、4.47,均P＜0.05),F组在给药后4、8h时VAS 0～3分患者所占比例低于Q组(x2 =6.23、7.22,均P＜0.05),而两组在给药12 h时VAS评分差异无统计学意义(P＞0.05).F组不良反应发生率高于Q组、患者满意度高于Q组,两组差异均有统计学意义(x2=12.12、4.44,均P＜0.05).结论静脉注射芬太尼在腹腔镜胆囊切除术后总体镇痛效果优于曲马朵,患者满意度高.
목적 비교분태니여곡마타용우복강경담낭절제술후진통적림상료효.방법 80례복강경담낭절제술환자안조수자표법수궤분위분태니조(F조)급곡마타조(Q조)각40례,관찰비교량조술후0.5、1、2、4、8、12 h적VAS평분급불량반응발생솔、환자만의도.결과 F조재급약후0.5、1、2h시VAS 0～3분환자소점비례명현고우Q조(x2 =5.56、5.50、4.47,균P＜0.05),F조재급약후4、8h시VAS 0～3분환자소점비례저우Q조(x2 =6.23、7.22,균P＜0.05),이량조재급약12 h시VAS평분차이무통계학의의(P＞0.05).F조불량반응발생솔고우Q조、환자만의도고우Q조,량조차이균유통계학의의(x2=12.12、4.44,균P＜0.05).결론 정맥주사분태니재복강경담낭절제술후총체진통효과우우곡마타,환자만의도고.
Objective To observe the effects of intravenous injection of fentanyl and tramadol on postoperative analgesia in laparoscopic cholecystectomy of clinical efficacy.Methods 80 cases treated with laparoscopic cholecystectomy were randomly divided into the fentanyl group (group F) and tramadol group (group Q).VAS score,adverse reaction incidence and patient satisfaction,were observed after the administration of 0.5,1,2,4,8,12h.Results In group F after administration of 0.5,1,2h,VAS score was better than that of group Q; group F after administration of the drug 4,8 h VAS score was inferior to group Q;two groups of patients in postoperative 12h VAS scores showed no significant difference in group F;the overall incidence of adverse reactions was higher than that of group Q,patients' satisfaction was higher than that of group Q.Conclusion Intravenous fentanyl in laparoscopic cholecystectomy operation postoperative overall are superior to the analgesic effect of tramadol,with high patient's satisfaction.