CAJ | 학술논문

目的：探讨不同剂量舒芬太尼对腹部手术患者术后静脉镇痛的效果。方法：选择我院2012年7月至2014年7月择期行腹部外科手术的患者90例，按照随机数字表法将所选病例分为三组，每组30例。其中A组患者给予舒芬太尼负荷剂量0．5μg／mL，B组给予0．75μg／mL，C组给予1．00μg／mL。观察并比较三组患者术后疼痛评分和不良反应的发生率。结果：术后12h，三组患者的疼痛评分无显著性差异（ P＞0．05）。术后24h，C组患者疼痛明显缓解，且疼痛评分低于A组和B组，差异具有统计学意义（P＜0．05）；A组与B组之间比较无显著差异（P＞0．05）。三组患者不良反应发生率无显著差异（ P＞0．05）。结论：选用舒芬太尼负荷剂量1．00μg／mL，维持2μg／mL是腹部手术患者术后静脉镇痛的理想剂量。
목적：탐토불동제량서분태니대복부수술환자술후정맥진통적효과。방법：선택아원2012년7월지2014년7월택기행복부외과수술적환자90례，안조수궤수자표법장소선병례분위삼조，매조30례。기중A조환자급여서분태니부하제량0．5μg／mL，B조급여0．75μg／mL，C조급여1．00μg／mL。관찰병비교삼조환자술후동통평분화불량반응적발생솔。결과：술후12h，삼조환자적동통평분무현저성차이（ P＞0．05）。술후24h，C조환자동통명현완해，차동통평분저우A조화B조，차이구유통계학의의（P＜0．05）；A조여B조지간비교무현저차이（P＞0．05）。삼조환자불량반응발생솔무현저차이（ P＞0．05）。결론：선용서분태니부하제량1．00μg／mL，유지2μg／mL시복부수술환자술후정맥진통적이상제량。
Objective:To investigate the optimal dose of sufentanil for pediatric abdominal surgery in-travenous analgesia .Method: 90 patients who had taken the abdominal surgery in our hospital from Jul . 2012 to Jul.2014 were selected and randomly divided into three groups , with 30 in each group.The patients in group A were given sufentanil with 0.5 μg/mL, the patients in group B were given sufentanil with 0.75μg/mL and the patients in group C were given sufentanil with 1.00 μg/mL.Then the pain scores and inci-dence of adverse reactions of patients in the three groups after the anestheasia were observed and compared . Result:There was no statistically significant difference about the pain scores and the adverse reactions of pa -tients in the three groups after the surgery for 12 hours ( P>0.05) .The pain score of patients in group C was higher than those of the patients in group A and group B with statistically significant differences after the sur -gery for 24 hours (P<0.05).There was no statistically significant difference about the pain score between group A and group B after the surgery for 24 hours (P>0.05).There was no statistically significant difference about the incidence of adverse reactions of patients in the three groups (P>0.05).Conclusion:The loading dose of sufentanil with 1.00μg/mL and maintenance with 2.00μg/mL would be the optimal dose in abdomi-nal surgery as intravenous analgesia .