中外女性健康（下半月）
中外女性健康（下半月）
중외녀성건강（하반월）
CHINESE-FOREIGN WOMEN'S HEALTH
2014年
11期
8-8,95
,共2页
舒芬太尼%股骨上段骨折%椎管内麻醉前
舒芬太尼%股骨上段骨摺%椎管內痳醉前
서분태니%고골상단골절%추관내마취전
Sufentanil%Proximal femoral fracture%Intraspinal anesthesia
目的：探讨舒芬太尼应用于股骨上端骨折椎管内麻醉前镇痛的效果。方法：选取我院收治的股骨上段骨折手术患者300例，并将其随机分为观察组与对照组。观察组患者于手术前静脉滴注舒芬太尼、对照组患者于手术前静脉滴注0.9%生理盐水，比较两组患者术中平均动脉压、心率、血氧饱和度的变化情况及术后疼痛视觉评分（VAS）。结果：两组患者的各项检测指标均无明显变化，其动脉压、心率、血氧饱和度等检测水平无显著差异，均较接近于正常值。但观察组患者的VAS评分明显低于对照组患者，两组数据差异具有统计学意义（P＜0.05）。结论：舒芬太尼应用于股骨上段骨折椎管内麻醉前镇痛效果显著。该种术前镇痛法临床意义显著，可进行广泛推广。
目的：探討舒芬太尼應用于股骨上耑骨摺椎管內痳醉前鎮痛的效果。方法：選取我院收治的股骨上段骨摺手術患者300例，併將其隨機分為觀察組與對照組。觀察組患者于手術前靜脈滴註舒芬太尼、對照組患者于手術前靜脈滴註0.9%生理鹽水，比較兩組患者術中平均動脈壓、心率、血氧飽和度的變化情況及術後疼痛視覺評分（VAS）。結果：兩組患者的各項檢測指標均無明顯變化，其動脈壓、心率、血氧飽和度等檢測水平無顯著差異，均較接近于正常值。但觀察組患者的VAS評分明顯低于對照組患者，兩組數據差異具有統計學意義（P＜0.05）。結論：舒芬太尼應用于股骨上段骨摺椎管內痳醉前鎮痛效果顯著。該種術前鎮痛法臨床意義顯著，可進行廣汎推廣。
목적：탐토서분태니응용우고골상단골절추관내마취전진통적효과。방법：선취아원수치적고골상단골절수술환자300례，병장기수궤분위관찰조여대조조。관찰조환자우수술전정맥적주서분태니、대조조환자우수술전정맥적주0.9%생리염수，비교량조환자술중평균동맥압、심솔、혈양포화도적변화정황급술후동통시각평분（VAS）。결과：량조환자적각항검측지표균무명현변화，기동맥압、심솔、혈양포화도등검측수평무현저차이，균교접근우정상치。단관찰조환자적VAS평분명현저우대조조환자，량조수거차이구유통계학의의（P＜0.05）。결론：서분태니응용우고골상단골절추관내마취전진통효과현저。해충술전진통법림상의의현저，가진행엄범추엄。
Objective: To explore the analgesia effect of intraspinal anesthesia in the treatment of proximal femoral fracture using Sufentanil. Methods: 300 cases of proximal femoral fracture patients in our hospital were randomly divided into treatment group and control group. The treatment group was given Sufentanil preoperatively. Control group was given 0.9% normal saline (NS). The mean arterial pressure, heart rate, blood oxygen saturation and the changes of visual postoperative pain score (VAS) were observed. Results: The various detection indexes of two groups have no obvious difference, closely to normal value. Besides, the VAS of treatment group were lower than control group, the difference was statistically significant (P<0.05). Conclusions: Sufentanil has a good effect in the treatment of intraspinal anesthesia for proximal femoral fracture surgery, and the clinical effect was significant, worth clinical promotion.
