中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
21期
61-62
,共2页
地佐辛%超前镇痛%膀胱镜%前列腺%电切术
地佐辛%超前鎮痛%膀胱鏡%前列腺%電切術
지좌신%초전진통%방광경%전렬선%전절술
Dezocine%Preemptive analgesia%Cystoscope%Prostate%Transurethral resection of the prostate
目的 探讨地佐辛超前镇痛应用于膀胱镜前列腺电切术患者的有效性和安全性.方法 膀胱镜前列腺电切术患者60例,随机分为Ⅰ组和Ⅱ组,每组30例,腰硬联合麻醉下完成手术.手术操作前15 min Ⅰ组静脉注射地佐辛0.1 mg/kg,于同一时点Ⅱ组静脉注射生理盐水1ml.VAS和Ramsay评分评估两组术后2,6,12,24h的镇痛和镇静程度,比较两组手术不良反应发生情况.结果 Ⅰ组术后VAS评分低于Ⅱ组(P<0.05),两组Ram-say评分比较差异无统计学意义(P>0.05),两组间恶心呕吐、皮肤瘙瘁等不良反应发生率相比较差异无统计学意义(P>0.05).结论 膀胱镜前列腺电切术手术前应用地佐辛具有超前镇痛作用,且无明显不良反应.
目的 探討地佐辛超前鎮痛應用于膀胱鏡前列腺電切術患者的有效性和安全性.方法 膀胱鏡前列腺電切術患者60例,隨機分為Ⅰ組和Ⅱ組,每組30例,腰硬聯閤痳醉下完成手術.手術操作前15 min Ⅰ組靜脈註射地佐辛0.1 mg/kg,于同一時點Ⅱ組靜脈註射生理鹽水1ml.VAS和Ramsay評分評估兩組術後2,6,12,24h的鎮痛和鎮靜程度,比較兩組手術不良反應髮生情況.結果 Ⅰ組術後VAS評分低于Ⅱ組(P<0.05),兩組Ram-say評分比較差異無統計學意義(P>0.05),兩組間噁心嘔吐、皮膚瘙瘁等不良反應髮生率相比較差異無統計學意義(P>0.05).結論 膀胱鏡前列腺電切術手術前應用地佐辛具有超前鎮痛作用,且無明顯不良反應.
목적 탐토지좌신초전진통응용우방광경전렬선전절술환자적유효성화안전성.방법 방광경전렬선전절술환자60례,수궤분위Ⅰ조화Ⅱ조,매조30례,요경연합마취하완성수술.수술조작전15 min Ⅰ조정맥주사지좌신0.1 mg/kg,우동일시점Ⅱ조정맥주사생리염수1ml.VAS화Ramsay평분평고량조술후2,6,12,24h적진통화진정정도,비교량조수술불량반응발생정황.결과 Ⅰ조술후VAS평분저우Ⅱ조(P<0.05),량조Ram-say평분비교차이무통계학의의(P>0.05),량조간악심구토、피부소췌등불량반응발생솔상비교차이무통계학의의(P>0.05).결론 방광경전렬선전절술수술전응용지좌신구유초전진통작용,차무명현불량반응.
Objective To investigate the efficacy and safety of dezocine preemptive analgesia on cystoscopic transurethral resection.Methods Sixty cystoscopic transurethral resection of the prostate patients in combined spinal-epidural anesthesia were randomly divided into group Ⅰ and group Ⅱ,with 30 cases in each group.Group Ⅰ intravenous injection of Dezocine 0.1 mg/kg 15 min before the operation,Group Ⅱ at the same time intravenous injection saline 1 ml.The postoperative analgesia and sedation were compared using VAS and Ramsay evaluation at the time of 2,6,12,24 h after operation,the incidence of adverse reactions were compared between the two groups.Results Postoperative VAS score of group Ⅰ was significantly lower than that of group Ⅱ (P < 0.05),ramsay scores had no significant difference between the two groups(P >0.05),There were no significant difference in nausea and vomiting,skin itching and the incidence of adverse reactions between the two groups (P > 0.05).Conclusions Dezocine preemptive used in cystoscopic transurethral resectionc before operation has the preemptive analgesia effect,and no adverse reaction.